Abstract

Nasal polyps are benign growths of the sinonasal mucosa. Their incidence is low in the pediatric population (<1%), and they often serve as a clinical marker for underlying systemic conditions, such as cystic fibrosis, primary ciliary dyskinesia, and allergic or chronic inflammatory diseases. Ethmoid polyposis is particularly uncommon in young children and demands a thorough diagnostic investigation. We report the case of a 6-year- old female patient with pansinusitis and a complication of preseptal cellulitis. During a Functional Endoscopic Sinus Surgery, polyps were unexpectedly discovered and removed from the right ethmoid sinus. Histopathological analysis confirmed the diagnosis of ethmoid polyposis. This finding, rare for her age, highlights the crucial link between chronic rhinosinusitis and allergic rhinitis in the pathogenesis of pediatric polyps. The patient showed excellent recovery, and a 24-month follow-up confirmed no recurrence, demonstrating the efficacy of combined surgical and long-term medical management. This case underscores the importance of a high index of suspicion for polyposis in pediatric patients with severe or refractory rhinosinusitis

Keywords

pediatric nasal polyps, chronic rhinosinusitis, ethmoidal polyps, fess, allergic rhinitis