CHRONIC RHINOSINUSITIS WITH NASAL POLYPS IN CHILDREN: CLINICAL FEATURES, DIAGNOSIS, AND MANAGEMENT

Abstract

Chronic rhinosinusitis with nasal polyps (CRSwNP) is relatively uncommon in the pediatric population compared with adults, yet it represents an important clinical entity due to its association with systemic diseases and its significant impact on quality of life. Pediatric nasal polyposis is often linked to underlying conditions such as cystic fibrosis, primary ciliary dyskinesia, immunodeficiency, and allergic fungal rhinosinusitis. Children with CRSwNP commonly present with persistent nasal obstruction, chronic rhinorrhea, mouth breathing, snoring, and impaired olfaction. Early diagnosis is essential to identify associated systemic disorders and to prevent long-term complications. Management of pediatric CRSwNP relies primarily on pharmacological therapy, with surgery reserved for refractory cases. This article reviews the epidemiology, etiology, pathophysiology, clinical presentation, diagnostic approach, and current treatment strategies for chronic rhinosinusitis with nasal polyps in children.