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Rapid Review of Pediatric Guidelines and Consensus Statements

Kids Today: Rapid Review of Guidelines and Consensus Statements

On-Demand Session


Jennifer J. Shin, MD

A rapid review of guidelines and consensus statements, indeed—moderator Debra G. Weinberger, MD, of the University of Texas Southwestern Medical Center in Dallas, and panelists David H. Darrow, MD, DDS,  of Eastern Virginia Medical School in Norfolk; Jennifer J. Shin, MD, SM, of Harvard Medical School in Boston, Massachusetts; and David E. Tunkel, MD, of Johns Hopkins Hospital  in Baltimore, Maryland, and the current Chair of the AAO-HNSF Guidelines Taskforce, blazed through several pediatric otolaryngology subjects.

Dr. Shin walked attendees through the AAO-HNSF Clinical Consensus Statement on Pediatric Chronic Rhinosinusitis (CRS), which covers:

  • Nasal endoscopy
  • Nasal polyps and CRS
  • Adenoiditis
  • Allergic rhinitis
  • Medical therapy for CRS
  • Adenoidectomy
  • Endoscopic sinus surgery
  • Balloon sinuplasty
  • Turbinate reduction

Dr. Darrow discussed various statements in the updated Clinical Practice Guideline (CPG) for Tonsillectomy in Children, which address the following:

  • Recurrent tonsillitis and Paradise criteria
  • Obstructive sleep disordered breathing
  • Perioperative medications
  • Postoperative medications
  • Post-tonsillectomy hemorrhage

The CPG for Otitis Media with Effusion, covered by Dr. Weinberger, includes Key Action Statements related to:

  • Diagnosis
  • The identification and evaluation of at-risk children
  • Watchful waiting
  • Medical management
  • Hearing testing
  • Surveillance of chronic OME
  • Surgery

Dr. Weinberger also discussed the CPG for Tympanostomy Tubes in Children, which highlights:

  • OME of short duration
  • AOM without effusion
  • Recurrent AOM with middle ear effusion
  • Bilateral OME with hearing difficulty
  • Chronic OME with symptoms
  • At-risk children
  • Postoperative care

The published AAO-HNSF Expert Consensus Statements and Clinical Practice Guidelines can be found at https://www.entnet.org/content/expert-consensus-statements  and https://www.entnet.org/content/clinical-practice-guidelines.

In 2020, the AAO-HNSF Guideline Task Force voted to change the name of Clinical Consensus Statements (CCS) to Expert Consensus Statements (ECS) and the AAO-HNSF Executive Committee approved this name change. The change applies to all upcoming documents planned for publication. Any previously published CCS will maintain the CCS name in the published title.

This Panel Presentation was presented live on Tuesday, September 15, 2:00 – 3:00 pm (ET) but is now available in the on-demand library of education content.