Early experience with feasibility of balloon sinus dilation in complicated pediatric acute frontal rhinosinusitis

Maurrasse, Sarah; Hwa, Tiffany Peng; Waldman, Erik H.; Kacker, Ashutosh; Pearlman, Amy

doi:10.1002/lio2.359

Cited by 8 publications

(6 citation statements)

References 30 publications

(30 reference statements)

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“…After the age of 12, CPR can occur in any paranasal sinus or even in several (Gitman and Peña 2020). In children, the development of CPR is accompanied by the following features (Pavez et al 2019;Maurrasse et al 2020):…”

Section: Features Of Cpr In Childhoodmentioning

confidence: 99%

Modern approaches to the treatment of chronic polypous rhinosinusitis

Bairashevskaia¹,

Kytko²,

Vasil’ev³

et al. 2020

RRP

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Introduction: Today, chronic polypous rhinosinusitis (CPR) occupies a special place among otolaryngological diseases, the incidence rate of which increases every year. To date, the main causes of chronic polypous rhinosinusitis are Staphylococcus aureus and anatomical abnormalities. Diagnostics: Knowledge of a universal algorithm for the diagnosis of this disease, consisting of the collection of anamnesis, endoscopic examination of the nasal cavity, computed tomography of the paranasal sinuses, anterior active rhinomanometry and bacteriological determination of the microbial spectrum, allows diagnosing chronic polyposis rhinosinusitis in time, and, as a consequence, to prescribe a treatment. Treatment: This review describes conservative therapies, including antibiotics and glucocorticosteroids. Today, the main task of doctors is to find the most effective method of administration of glucocorticosteroids to achieve the maximum effect. One of these methods is the introduction of the drug with the help of nebulizer, as in this case, the drug will remain in the perirhinal cavity for a long time and have the maximum effect due to the directed action only in the area of the pathological process. Features of chronic polypous rhinosinusitis in childhood: It should be noted that children under 12 years of age due to the formation of the paranasal sinuses at different stages of ontogenesis will be characterized by different forms of chronic polyposis rhinosinusitis. That is why they should be known and taken into account when making a diagnosis and prescribing a treatment. Conclusion: Today, the frequency of chronic rhinosinusitis increases exponentially, which makes the question of the modern approach to its treatment the most relevant. It is possible that additional research in this area will solve the issue of searching for both the optimal path of therapy and treatment of CPR in children.

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Section: Features Of Cpr In Childhoodmentioning

confidence: 99%

Modern approaches to the treatment of chronic polypous rhinosinusitis

Bairashevskaia¹,

Kytko²,

Vasil’ev³

et al. 2020

RRP

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“…Treating complicated pediatric frontal ARS with balloon sinuplasty has been previously described in one case report of a patient with an intracranial abscess and in a case series of four patients with the following complications: forehead swelling, frontal dural enhancement, intraorbital manifestation, and recurrent chronic sinusitis [ 13 , 14 ]. Multiple studies have established that balloon sinuplasty is safe and useful when examining short and long-term outcomes in pediatric chronic rhinosinusitis (CRS), though a consensus has not been reached for the indication of balloon dilation among children with CRS [ 15 – 23 ].…”

Section: Introductionmentioning

confidence: 99%

Frontal Balloon Sinuplasty in Complicated Acute Pediatric Rhinosinusitis (ARS)

Chidambaram

Wahle

Léonard

2022

Case Reports in Otolaryngology

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Utilization of frontal balloon sinuplasty in pediatric complicated acute rhinosinusitis (ARS) is demonstrated to be a safe and expedient alternative to other procedures such as trephination or functional endoscopic sinus surgery (FESS) in this case series. We performed a retrospective review of six pediatric cases of frontal balloon sinuplasty for ARS with intracranial complications at a tertiary academic center. Patients underwent unilateral (n = 5) or bilateral dilation (n = 1) in addition to functional endoscopic sinus surgery (FESS) including anterior ethmoidectomy (n = 5) and maxillary antrostomy (n = 6). This technique effectively addressed frontal sinus obstruction and served as an alternative to procedures such as trephination or functional endoscopic sinus surgery. No immediate or short-term complications of balloon dilation were observed in these cases. A larger cohort and extended follow-up are necessary to determine the use and long-term impact of this technique.

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“…7 Recently, selective use of balloon frontal sinuplasty has been described to further mitigate the risks and challenges of endoscopic frontal surgery in an acutely inflamed pediatric patient. 12,13 Indications for addressing the frontal sinus in the surgical management of pediatric acute sinusitis with intracranial complications are not defined. Surgeons treating sinogenic intracranial infections in children must individualize the extent of initial surgical approach.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Frontal Sinus Drainage in Acute Pediatric Sinusitis With Intracranial Complications

Chorney

Buzi

Rizzi

2021

Am J Rhinol�Allergy

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Background The indication for frontal sinus drainage is uncertain when managing pediatric acute sinusitis with intracranial complications. Objective The primary objective was to determine if addressing the frontal sinus reduced need for subsequent surgical procedures in children presenting with acute sinusitis complicated by intracranial abscess. Methods A case series with chart review was performed at a tertiary children’s hospital between 2007 and 2019. Children under 18 years of age requiring surgery for complicated acute sinusitis that included the frontal sinus with noncontiguous intracranial abscess were included. Outcomes were compared among children for whom the frontal sinus was drained endoscopically, opened intracranially, or left undrained. Results Thirty-five children with a mean age of 11.1 years (95% CI: 9.9-12.3) met inclusion. Most presented with epidural abscess (37%). Hospitalizations lasted 12.9 days (95% CI: 10.2-15.5), 46% required a second surgery, 11% required three or more surgeries, and 31% were readmitted within 60 days. Initial surgery for 29% included endoscopic frontal sinusotomy, 34% had a frontal sinus cranialization and 37% did not have any initial drainage of the frontal sinus. Groups were similar with respect to demographics, severity of infection, need for repeat surgery, length of stay, and readmissions (p > .05). Further, persistence of cranial neuropathies, seizures, or major neurological sequelae after discharge were no different among groups (p > .05). Conclusion Drainage of the frontal sinus, when technically feasible, was not associated with reduced surgical procedures or increased complications and there is unclear benefit on measured clinical outcomes.

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Early experience with feasibility of balloon sinus dilation in complicated pediatric acute frontal rhinosinusitis

Cited by 8 publications

References 30 publications

Modern approaches to the treatment of chronic polypous rhinosinusitis

Modern approaches to the treatment of chronic polypous rhinosinusitis

Frontal Balloon Sinuplasty in Complicated Acute Pediatric Rhinosinusitis (ARS)

Frontal Sinus Drainage in Acute Pediatric Sinusitis With Intracranial Complications

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