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A 47-year-old male asked:

My 3 yr old son has chronic sinusitis after seeing the crt, ent doctor has recommended laser sinus surgery i see mixed opinions, please advise?

2 doctor answers • 6 doctors weighed in
Dr. Michael H. T. Sia
Dr. Michael H. T. Siaanswered
Pediatrics 33 years experience
Wait!: There are four different types of sinuses: •ethmoid sinuses & maxillary sinuses are present at birth; the frontal sinuses develop at 7 yrs old and sphenoid during adolescent. Bottom line for a 3 year old: if you have had severe repeated infections and multiple courses of antibiotics/hospitalizations-laser may be considered. If not...Wait and manage with non surgical therapy-benign neglect!
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5.5k viewsAnswered >2 years ago
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Dr. Alen Cohen
Dr. Alen Cohenanswered
ENT - Head & Neck Surgery 16 years experience
Not recommended: I don't recommend laser sinus surgery for anyone. Significant risk of scar tissue and problems with lasers in the nose. Balloon sinuplasty is recommended in kids with chronic sinusitis with or without endoscopic sinus surgery.
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5.5k viewsReviewed >2 years ago
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Dr. Johanna Fricke
Dr. Johanna Fricke agrees1 doctor agrees
3 comments
Dr. Katharine Garnier
Dr. Katharine Garnier commented
Family Medicine 35 years experience
I would definitely get several opinions before have surgery in a child this young especially. Get at least a 2nd or even 3rd opinion, and see an allergist also.
Dec 1, 2012
Dr. Dale Tylor
Dr. Dale Tylor commented
ENT - Head & Neck Surgery - Pediatric 21 years experience
I completely agree with Dr. Cohen. As a Pediatric ENT I have never heard of this being suggested for any child with sinus issues. Seek another opinion.
Aug 2, 2013
Dr. Nick Debnath
Dr. Nick Debnath commented
ENT and Head and Neck Surgery 22 years experience
Sinus surgery is extremely unusual in this age group. Adenoidectomy is usually indicated initially in pediatric patients. I would seek another opinion.
Sep 5, 2013

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Last updated Apr 21, 2019

Found in:

Child health›Sinusitis›Surgery

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