Complications of Acute Rhinosinusitis in the pediatric population - 10 years at Hospital Garcia de Orta
DOI:
https://doi.org/10.34631/sporl.876Keywords:
acute rhinosinusitis, complications, infant, child, adolescentAbstract
Objectives: Complications of acute rhinosinusitis (ARS) carry a potential risk of severe morbility and fatal outcome, and are more frequent in the pediatric population. The authors aim to describe complications of ARS in need of hospitalization: clinical features, epidemiology and medical and surgical treatment in our institution.
Study design: Observational retrospective.
Material and methods: Assessment of medical files of pediatric patients who were admitted to the Pediatric Emergency Room and later hospitalization, over a 10-year period (2010-2019).
Results: Forty-six children were included in this study. There were 43 orbitary complications (93,5%) reported, 3 intracranial complications (6,5%) and 1 bony complication associated with a intracranial complication. Eight children with orbital complications were submitted to surgery. All intracranial complications were operated.
Conclusion: There was a good response to high doses of intravenous antibiotics in orbital complications. A multidisciplinary approach must be conducted in order to achieve an optimal treatment.
References
- Pignatari S S N, Anselmo-Lima W T, ed. Tratado de Otorrinolaringologia. Rio de Janeiro: Elsevier, 2018. Chapter 62.
- Watkinson JC, Clarke R. Scott-Brown’s Otorhinolaryngology and Head and Neck Surgery. 8th ed. USA: CRC Press; 2018. Vol 1, Chapter 101.
- Çelik M, Kaya KH, Yegin Y, Olgun B. Anatomical Factors in Children with Orbital Complications Due to Acute Rhinosinusitis, Iran J Otorhinolaryngol. [Internet] 2019 Sep;31(106):289-295. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6764809/pdf/ijo-31-289.pdf.
- Trivić A, Cevik M, Folić M, Krejovic-Trivić S, Rubino S, Micić J. et al. Management of Orbital Complications of Acute Rhinosinusitis in Pediatric Patients. Pediatr Infect Dis J. 2019 Oct;38(10):994-998. doi: 10.1097/INF.0000000000002414.
- Mahalingam S, Hone R, Lloyd G, Grounds R. et al. The management of periorbital cellulitis secondary to sinonasal infection: a multicenter prospective study in the United Kingdom. Int Forum Allergy Rhinol. 2020 Jun;10(6):726-737. doi: 10.1002/alr.22535.
- Levy DA, Pecha PP, Nguyen SA, Schlosser RJ. Trends in complications of pediatric rhinosinusitis in the United States from 2006 to 2016. Int J Pediatr Otorhinolaryngol. 2020 Jan;128:109695. doi: 10.1016/j.ijporl.2019.109695.
- Wu D, Wasserman J, Boruk M. Practice Patterns of Systemic Corticosteroid Use in Complicated Acute Rhinosinusitis Among Rhinologists and Pediatric Otolaryngologist. Am J Rhinol Allergy. 2018 Nov;32(6):485-490. doi: 10.1177/1945892418797056.
- Garcia GH, Harris GJ. Criteria for nonsurgical management of subperiosteal abscess of the orbit: analysis of outcomes 1988–1998. Ophthalmology. 2000 Aug;107(8):1454-6; discussion 1457-8. doi: 10.1016/s0161-6420(00)00242-6
-Adil EA, Muir ME, Kawai K, Dombrowski ND, Cunningham MJ. Pediatric Subperiosteal Abscess Secondary to Acute Sinusitis: A Systematic Review and Meta‐analysis. Laryngoscope. 2020 Dec;130(12):2906-2912. doi: 10.1002/lary.28570.
- Coudert A, Ayari-Khalfallah S, Suy P, Truy E. Microbiology and antibiotic therapy of subperiosteal orbital abscess in children with acute ethmoiditis. Int J Pediatr Otorhinolaryngol. 2018 Mar;106:91-95. doi: 10.1016/j.ijporl.2018.01.021
- Tritt A, Kay‐Rivest E, Paradis T, Duval M. Daily outpatient intravenous antibiotic therapy for the management of paediatric periorbital cellulitis, a retrospective case series. Clin Otolaryngol. 2019 May;44(3):273-278. doi: 10.1111/coa.13284
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