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Suppurative complications of frontal sinusitis in children
Jerzy Kuczkowski1, Waldemar Narozny, Boguslaw Mikaszewski
1Department of Otolaryngology, Medical University of Gdansk, Poland.
Insights
Suppurative sinusitis complications in children, including abscesses and meningitis, were reviewed. Combined aggressive surgical and antibiotic treatment is the preferred method for these serious pediatric conditions.
Area of Science:
- Pediatric infectious diseases
- Otolaryngology
- Neurosurgery
Background:
- Suppurative complications of paranasal sinusitis are serious pediatric conditions.
- These can include subgaleal abscess, osteomyelitis, subdural empyema, brain abscess, meningitis, and encephalitis.
Observation:
- A retrospective review analyzed children with these suppurative sinusitis complications.
- Commonly isolated pathogens included Staphylococcus aureus and group C beta-hemolytic Streptococcus.
Findings:
- All patients received intravenous antibiotics and surgical drainage of suppurations.
- Successful treatment outcomes were observed in the reviewed cases.
Implications:
- Combined aggressive surgical and antibiotic therapy is recommended for complicated sinusitis in children.
- This approach offers a preferred management strategy for severe pediatric sinonasal infections.
Abstract:
A retrospective review of children diagnosed and treated for suppurative complications of paranasal sinusitis was undertaken to describe clinical presentation, microbiology, and treatment. This review includes children with subgaleal abscess and osteomyelitis of the frontal bone, subdural empyema, frontal lobe abscess, meningitis, and encephalitis. Staphylococcus aureus and group C beta-hemolytic Streptococcus were isolated agents. All children were treated with intravenous antibiotics with drainage of both the sinus and extracranial and intracranial suppurations. Results of treatment in the series support the opinion that combined aggressive surgical and antibiotic treatment is a preferred method in complicated sinusitis in children.
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