Nasal Obstruction in Children

Episode four of four on Paediatric ENT. Doctors Lisa and Sara are back with Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on nasal obstruction in children. We use examples of typical cases to discuss an approach to assessing these patients, discussing who ENT might want to see urgently, and differentials for these presentations. We discuss options for management in Primary Care and what ENT can do. 

 

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Resources:

• Efficacy and Safety of Nasal Steroids reference: Li Y, Xiong J, Zhang Z, Liao K, Zho X, Li J, Xiang J, Xu L. Efficacy and safety of various corticosteroids in the treatment of children with allergic rhinitis: A systematic review and network meta-analysis. J Evid Based Med. 2024 Sep;17(3):626-642: https://pubmed.ncbi.nlm.nih.gov/39313999/
• Safety of Intranasal Steroids link: McDonnell J, Weller K, Pien LC. Safety of Intranasal Steroids: an Updated Perspective. Curr Allergy Asthma Rep. 2020 Sep 7;20(11):69. https://pubmed.ncbi.nlm.nih.gov/32893309/
• ENT UK Paediatric Snoring and Obstructive Sleep Apnoea in Children and Adolescents (accessed May 2025): https://www.entuk.org/_userfiles/pages/files/guidelines/global%20ent%20guidelines/global_health_guidelines_pediatric_snoring_obstructive_sleep_apnoea.pdf
• ENT UK Chronic Rhinosinusitis in Children: https://www.entuk.org/patients/conditions/64/chronic_rhinosinusitis_in_children/
• NICE Clinical Knowledge Summaries Allergic Rhinitis (Jan 2024): https://cks.nice.org.uk/topics/allergic-rhinitis/

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This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

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