{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T23:08:27Z","timestamp":1780528107687,"version":"3.54.1"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Pediatric inferior turbinate hypertrophy (PedTH) is a frequent and often overlooked cause or associated cause of nasal breathing difficulties. This clinical consensus statement (CCS) aims to provide a diagnosis and management framework covering the lack of specific guidelines for this condition and addressing the existing controversies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A clinical consensus statement (CCS) was developed by a panel of 20 contributors from 7 different European and North American countries using the modified Delphi method. The aim of the CCS was to offer a multidisciplinary reference framework for the management of PedTH on the basis of shared clinical experience and analysis of the strongest evidence currently available.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A systematic literature review following the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses (PRISMA) criteria was performed. From the initial 96 items identified, 7 articles were selected based on higher\u2010evidence items such as randomized\u2010controlled trials, guidelines, and systematic reviews. A 34\u2010statement survey was developed, and after three rounds of voting, 2 items reached strong consensus, 17 reached consensus or near consensus, and 15 had no consensus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Until further prospective data are available, our CCS should provide a useful reference for PedTH management. PedTH should be considered a nasal obstructive disease not necessarily related to an adult condition but frequently associated with other nasal or craniofacial disorders. Diagnosis requires clinical examination and endoscopy, whereas rhinomanometry, nasal cytology, and questionnaires have little clinical role. Treatment choice should consider the specific indications and features of the available options, with a preference for less invasive procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>5 <jats:italic>Laryngoscope<\/jats:italic>, 134:1437\u20131444, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30907","type":"journal-article","created":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T11:53:29Z","timestamp":1690458809000},"page":"1437-1444","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Pediatric Inferior Turbinate Hypertrophy: Diagnosis and Management. A <scp>YO\u2010IFOS<\/scp> Consensus Statement"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1251-0185","authenticated-orcid":false,"given":"Antonino","family":"Maniaci","sequence":"first","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Department of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Calvo\u2010Henriquez","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Service of Otolaryngology, Rhinology Unit Hospital Complex at the University of Santiago de Compostela  Santiago de Compostela Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1618-0048","authenticated-orcid":false,"given":"Giovanni","family":"Cammaroto","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Otolaryngology Unit Morgagni Pierantoni Hospital  Forl\u00ec Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Garcia\u2010Magan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Hospital Complex at the University of Santiago de Compostela  Santiago de Compostela Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanesa","family":"Garcia\u2010Paz","sequence":"additional","affiliation":[{"name":"Allergy Department Hospital Complex at the University of Santiago de Compostela  Santiago de Compostela Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giannicola","family":"Iannella","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Otorhinolaryngology Department Sapienza University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio","family":"Jim\u00e9nez\u2010Huerta","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Service of Otolaryngology, Pediatric Otolaryngology Unit Gregorio Mara\u00f1on University Hospital  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignazio","family":"La Mantia","sequence":"additional","affiliation":[{"name":"Department of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0845-0845","authenticated-orcid":false,"given":"J\u00e9rome R.","family":"Lechien","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology University of Mons  Mons Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel C.","family":"Leong","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"The Liverpool Head and Neck Centre Aintree University Hospital NHS Foundation Trust  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4322-6638","authenticated-orcid":false,"given":"David","family":"Lobo\u2010Duro","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Otolaryngology Service Hospital Universitario Marqu\u00e9s de Valdecilla  Santander Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3588-9095","authenticated-orcid":false,"given":"Juan","family":"Maza\u2010Solano","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Otolaryngology Service Hospital Universitario Virgen Macarena  Sevilla Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7890-0541","authenticated-orcid":false,"given":"Ron","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Department of Pediatric Otolaryngology\u2010Head and Neck Surgery, Children's Health Children's Medical Center Dallas  Dallas Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Otero\u2010Alonso","sequence":"additional","affiliation":[{"name":"Allergy Department Hospital Complex at the University of Santiago de Compostela  Santiago de Compostela Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"You","family":"Peng","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Western University  London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5939-5372","authenticated-orcid":false,"given":"Thomas","family":"Radulesco","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Department of Otorhinolaryngology and Head and Neck Surgery, APHM, IUSTI, CNRS, La Conception University Hospital Aix Marseille University  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Simon","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Otolaryngology Service, Universit\u00e9 Paris Cit\u00e9, H\u00f4pital Necker\u2010Enfants Malades APHP  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Teissier","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Pediatric Otolaryngology Department Robert\u2010Debr\u00e9 Hospital, Paris 7 Denis Diderot University  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6135-0958","authenticated-orcid":false,"given":"Salvatore","family":"Cocuzza","sequence":"additional","affiliation":[{"name":"Department of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1457-6871","authenticated-orcid":false,"given":"Alberto M.","family":"Saibene","sequence":"additional","affiliation":[{"name":"Young Otolaryngologists\u2013International Federation of Otorhinolaryngological Societies  Paris France"},{"name":"Otolaryngology Unit, ASST Santi Paolo E Carlo, Department of Health Sciences Universit\u00e0 Degli Studi Di Milano  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1945892418815351"},{"issue":"1","key":"e_1_2_6_3_1","first-page":"43","article-title":"Turbinate hypertrophy in children with allergic rhinitis: clinical relevance","volume":"91","author":"Ciprandi G","year":"2020","journal-title":"Acta Biomed"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-021-06657-0"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2006.12.009"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2007.03.002"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2022.111050"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.12235"},{"key":"e_1_2_6_9_1","first-page":"133","article-title":"Patolog\u00eda al\u00e9rgica de v\u00edas respiratorias superiores","volume":"2","author":"Lucas Moreno J","year":"2019","journal-title":"Protoc Diagn ter Pediatr"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23292"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2022.111094"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.06.004"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.20037"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2022.02.004"},{"issue":"2","key":"e_1_2_6_15_1","first-page":"1","article-title":"Clinical consensus statement development manual","volume":"153","author":"Rosenfeld RM","year":"2015","journal-title":"Otolaryngol Head Neck Surg"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/pai.12724"},{"issue":"5","key":"e_1_2_6_17_1","first-page":"389","article-title":"Objective and subjective assessments of nasal obstruction in children and adolescents with allergic rhinitis","volume":"88","author":"Mendes AI","year":"2012","journal-title":"J Pediatr"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.0468"},{"issue":"4","key":"e_1_2_6_19_1","first-page":"157","article-title":"Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques","volume":"38","author":"Hol MK","year":"2000","journal-title":"Rhinology"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24923"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814561600"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.18176\/jiaci.0232"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2009.09.002"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.13200"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-021-07218-1"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198509000-00009"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618767107"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-020-00969-1"},{"issue":"29","key":"e_1_2_6_29_1","first-page":"1","article-title":"European position paper on rhinosinusitis and nasal polyps 2020","volume":"58","author":"Fokkens WJ","year":"2020","journal-title":"Rhinology"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/19458924211060592"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/0091-6749(94)90178-3"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2012.26.3683"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22330"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110128"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215114000206"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2010.04.004"},{"issue":"10","key":"e_1_2_6_37_1","first-page":"901","article-title":"Utility of inferior Turbinoplasty for the treatment of nasal obstruction in children: a 10\u2010year review","volume":"141","author":"Arganbright JM","year":"2015","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1155\/DTE.6.189"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30907","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T12:31:58Z","timestamp":1708086718000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.30907"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,27]]},"references-count":37,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/lary.30907"],"URL":"https:\/\/doi.org\/10.1002\/lary.30907","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,27]]},"assertion":[{"value":"2023-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}