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Ocular Manifestations of Pediatric Rhinosinusitis: A Comprehensive Review
Antonino Maniaci1, Caterina Gagliano1,2, Salvatore Lavalle1
1Department of Medicine and Surgery, University of Enna "Kore", Piazza dell'Università, 94100 Enna, Italy.
Insights
Juvenile rhinosinusitis can cause serious eye problems like orbital cellulitis. Early diagnosis and combined medical/surgical treatment are crucial for managing these sight-threatening complications in children.
Area of Science:
- Ophthalmology
- Pediatrics
- Infectious Diseases
Background:
- Rhinosinusitis is a frequent pediatric illness with potential ocular complications.
- Understanding these eye issues is vital for effective childhood healthcare.
Purpose of the Study:
- To compile data on the types, prevalence, and treatment of ocular problems linked to juvenile rhinosinusitis.
- To enhance understanding of clinical presentation, diagnosis, and management strategies.
Main Methods:
- Comprehensive literature search of PubMed, Embase, and Cochrane Library (up to August 2023).
- Inclusion of English-language studies focusing on ocular issues in children with rhinosinusitis.
- Data extraction on study characteristics, complication types, incidence, and management.
Main Results:
- Common ocular complications include orbital cellulitis, subperiosteal abscess, cavernous sinus thrombosis, and optic neuritis.
- Incidence rates vary widely, from rare to more common.
- Management typically involves a combination of surgical and medical interventions based on severity.
Conclusions:
- Findings improve knowledge of potentially blinding complications of juvenile rhinosinusitis.
- Identifies knowledge gaps to guide future research and improve patient outcomes.
- Aims to facilitate better preventative and treatment strategies for ocular issues in children.
Abstract:
Background: Rhinosinusitis is a common childhood illness that may result in a number of ocular problems. The goal of this thorough analysis is to compile the available data regarding the kinds, prevalence, and treatment of ocular problems related to juvenile rhinosinusitis. Methods: A comprehensive analysis of electronic databases, such as PubMed, Embase, and Cochrane Library, was carried out to pinpoint pertinent research articles written in English and published between the beginning and August of 2023. Included were studies that discuss ocular problems in young children suffering from rhinosinusitis. Study characteristics, ocular complication kinds, occurrence rates, and management approaches were the main topics of data extraction. Results: A significant number of pertinent research on ocular problems related to juvenile rhinosinusitis was found through the literature search. Preliminary searches indicated that orbital cellulitis, subperiosteal abscess, cavernous sinus thrombosis, and optic neuritis are probably the most often reported ocular problems. It is expected that these problems will occur at a wide range of incidence rates, from somewhat unusual to more prevalent. Depending on the severity of the consequences, management techniques are expected to require a combination of surgical and medicinal procedures. Healthcare professionals will benefit from the findings since they will improve knowledge of the clinical presentation, diagnosis, and treatment of these potentially blinding consequences. The evaluation also assists in identifying knowledge gaps and guides future directions for this field of study, both of which are critical to enhancing patient outcomes. Conclusions: The wide range of topics included in this study will help to better understand the burden of ocular consequences related to juvenile rhinosinusitis and will make it easier to build preventative and treatment plans that work better.
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