One of the hallmarks in the current practice of pediatric otolaryngology is the treatment of common disorders in complex children. Whether the topic is airway management, sinusitis, or otologic disease, the skills and expertise of an experienced pediatric otolaryngologist can be of particular importance in the care of infants and children with congenital or genetic disorders, craniofacial syndromes, or other complex multisystem diseases. Yet the following articles are not intended solely for those within our relatively small field. It is my hope that our colleagues in a wide variety of practices, including pediatrics, general otolaryngology, and speech and language pathology, will also find this information helpful and, in some cases, invaluable.
Several of the articles do, in fact, specifically address common problems or procedures in more complicated children, such as those with Down syndrome, skeletal dysplasia, or a variety of craniofacial syndromes. Such children, whether due to unusual anatomy or underlying pathophysiology affecting multiple organ systems, can present particular challenges in management. Some of the most recent advances in pediatric otolaryngology are also covered in detail, including the significant changes in management for infantile hemangiomas. In addition, the increasing experience with endoscopic sinus surgery and skull-base techniques in pediatric patients is discussed. In particular, the role of these techniques in improving the care of children with allergic fungal sinusitis and juvenile nasopharyngeal angiofibroma is presented.
The layout of the articles is intended for the easiest possible access to important information. In addition to a summary of key points and highlighted “ Pearls & Pitfalls, ” a number of video links are presented with instructions to access these additional materials on-line. Some authors have provided notes that are especially helpful for pediatricians.
I would like to thank each of the authors for their time and contributions. Their work here reflects to a significant degree some of the most current knowledge in pediatric otolaryngology. I would also like to thank those who have inspired and guided my work in the field as well, including Drs Harold C. Pillsbury III, Amelia F. Drake, and Brent A. Senior here at the University of North Carolina, my fellowship director, Dr David E. Tunkel, at Johns Hopkins University in Baltimore, MD, and my tireless and always available partners within the Division of Rhinology, Allergy, and Sinus Surgery, Drs Charles S. Ebert Jr and Adam M. Zanation.