Complications of Acute Sinusitis in Children

Abstract

Despite significant deficits on presentation, permanent morbidity was low. Streptococcus milleri is a common pathogen with complications of sinusitis in children.

Acute bacterial rhinosinusitis and its complications in our pediatric otolaryngological department between 1997 and 2006

“…In accordance with literature findings [6], our cases of acute bacterial rhinosinusitis that proved resistant to conservative treatment and complications secondary to acute sinusitis were admitted most frequently in the period from January to March (Fig. 1).…”

Orbital and preseptal cellulitis: a 10-year survey of hospitalized patients in a tertiary eye hospital in Iran

“…Jain and Rubin [10] also believe that cellulitis is more prevalent during winter months, corresponding with higher prevalence of sinusitis on these cold days. Other authors have reported that orbital and PC are seen more in the cold months of late fall to early spring, compatible with the peak of upper respiratory viral infections [11]. The higher prevalence of cellulitis in spring in our series may be related to the higher occurrences of allergies and aggravation of the background sinusitis in this season.…”

Medical and surgical management of subperiosteal orbital abscess secondary to acute sinusitis in children

“…While most patients recover uneventfully, serious orbital or intracranial complications may occur. When complications of acute sinusitis arise, they involve the orbit in the majority of children, reported in 91% of pediatric patients in a recent series [2] and usually are secondary to acute ethmoid sinusitis [3]. A classification of orbital complications of sinusitis was described by Chandler in 1970 (Table 1) [4].…”

“…Complications may result from osteitic bone destruction, congenital or acquired bony defects, or via thrombophlebitis of communicating veins and have the potential to result in serious complications such as blindness and death [5,6]. While medical treatment of pediatric orbital cellulitis results in excellent outcomes [2], surgical drainage has traditionally been recommended for SPOA secondary to sinusitis [3,7]. Surgical options include traditional external approaches to the orbit, and more cosmetically appealing procedures including the transcaruncular external approach [8] and endoscopic drainage [9,10].…”