Skip to main content
Erschienen in: Pediatric Radiology 12/2004

01.12.2004 | Review

Complications of pediatric paranasal sinusitis

verfasst von: Janet R. Reid

Erschienen in: Pediatric Radiology | Ausgabe 12/2004

Einloggen, um Zugang zu erhalten

Abstract

Acute paranasal sinus infection in children is often diagnosed clinically without the need for radiographic confirmation. Most cases have a favorable outcome following appropriate antibiotic therapy. A small percentage of cases where symptoms and signs are persistent or severe will require emergent imaging to rule out complications related to local spread of disease intraorbitally or intracranially. A strong index of suspicion is required in such cases, and cross-sectional imaging evaluation with CT and MRI should include axial and coronal images of the paranasal sinuses and, where appropriate, the orbits and brain (with attention to the cavernous sinus). There is no role for plain radiography in the evaluation of the complications of acute sinusitis in the pediatric patient.
Literatur
1.
Zurück zum Zitat Som PM, Curtin HD (2003) Head and neck imaging, 4th edn. Mosby, St. Louis, pp 249–251 Som PM, Curtin HD (2003) Head and neck imaging, 4th edn. Mosby, St. Louis, pp 249–251
2.
Zurück zum Zitat American Academy of Pediatrics (2001) A subcommittee on management of sinusitis and committee on quality improvement. Clinical practice guideline: management of sinusitis. Pediatrics 108:798–808PubMed American Academy of Pediatrics (2001) A subcommittee on management of sinusitis and committee on quality improvement. Clinical practice guideline: management of sinusitis. Pediatrics 108:798–808PubMed
3.
Zurück zum Zitat Isaacson G (1996) Sinusitis in childhood. Pediatr Clin North Am 43:1297–1318PubMed Isaacson G (1996) Sinusitis in childhood. Pediatr Clin North Am 43:1297–1318PubMed
4.
Zurück zum Zitat Saxton VJ, Boldt DW, Shield LK (1995) Sinusitis and intracranial sepsis: the CT imaging and clinical presentation. Pediatr Radiol 23:S212–S217 Saxton VJ, Boldt DW, Shield LK (1995) Sinusitis and intracranial sepsis: the CT imaging and clinical presentation. Pediatr Radiol 23:S212–S217
5.
Zurück zum Zitat Kronemer KA, McAlister WH (1997) Sinusitis and its imaging in the pediatric population. Pediatr Radiol 27:837–846PubMed Kronemer KA, McAlister WH (1997) Sinusitis and its imaging in the pediatric population. Pediatr Radiol 27:837–846PubMed
6.
Zurück zum Zitat Haimi-Cohen Y, Amir J, Zeharia A, et al (1999) Isolated sphenoidal sinusitis in children. Eur J Pediatr 158:298–301PubMed Haimi-Cohen Y, Amir J, Zeharia A, et al (1999) Isolated sphenoidal sinusitis in children. Eur J Pediatr 158:298–301PubMed
7.
Zurück zum Zitat Thorp MA, Roche P, Nilssen ELK, et al (1999) Complicated acute sinusitis and the computed tomography anatomy of the ostiomeatal unit in childhood. Int J Pediatr Otorhinolaryngol 49:189–195PubMed Thorp MA, Roche P, Nilssen ELK, et al (1999) Complicated acute sinusitis and the computed tomography anatomy of the ostiomeatal unit in childhood. Int J Pediatr Otorhinolaryngol 49:189–195PubMed
8.
Zurück zum Zitat McAlister WH, Parker BR, Kushner DC, et al (2000) Sinusitis in the pediatric population. Radiology 215:811–818PubMed McAlister WH, Parker BR, Kushner DC, et al (2000) Sinusitis in the pediatric population. Radiology 215:811–818PubMed
9.
Zurück zum Zitat McAlister WH, Lusk R, Muntz HR (1989) Comparison of plain radiographs and coronal CT scans in infants and children with recurrent sinusitis. AJR 153:1259–1264PubMed McAlister WH, Lusk R, Muntz HR (1989) Comparison of plain radiographs and coronal CT scans in infants and children with recurrent sinusitis. AJR 153:1259–1264PubMed
10.
Zurück zum Zitat Glasier CM, Ascher DP, Williams KD (1986) Incidental paranasal sinus abnormalities on CT of children: clinical correlation. AJNR 7:861–864 Glasier CM, Ascher DP, Williams KD (1986) Incidental paranasal sinus abnormalities on CT of children: clinical correlation. AJNR 7:861–864
11.
Zurück zum Zitat Lesserson JA, Kieserman SP, Finn DG (1994) The radiographic incidence of chronic sinus disease in the pediatric population. Laryngoscope 104:159–166PubMed Lesserson JA, Kieserman SP, Finn DG (1994) The radiographic incidence of chronic sinus disease in the pediatric population. Laryngoscope 104:159–166PubMed
12.
Zurück zum Zitat Zeifer B (2000) Pediatric sinonasal imaging. Neuroimag Clin North Am 10:137–159 Zeifer B (2000) Pediatric sinonasal imaging. Neuroimag Clin North Am 10:137–159
13.
Zurück zum Zitat April MM, Zinreich SJ, Baroody FM, et al (1993) Coronal CT scan abnormalities in children with chronic sinusitis. Laryngoscope 103:985–990PubMed April MM, Zinreich SJ, Baroody FM, et al (1993) Coronal CT scan abnormalities in children with chronic sinusitis. Laryngoscope 103:985–990PubMed
14.
Zurück zum Zitat Kuhn JP (2004) Caffey’s pediatric diagnostic imaging. Mosby, Philadelphia, pp 431–447 Kuhn JP (2004) Caffey’s pediatric diagnostic imaging. Mosby, Philadelphia, pp 431–447
15.
Zurück zum Zitat Lusk RP, McAlister B, el Fouley A (1996) Anatomic variation in pediatric chronic sinusitis. Otolaryngol Clin North Am 29:75–91PubMed Lusk RP, McAlister B, el Fouley A (1996) Anatomic variation in pediatric chronic sinusitis. Otolaryngol Clin North Am 29:75–91PubMed
16.
Zurück zum Zitat Mitchell R, Kelly J, Wagner J (2002) Bilateral orbital complications of pediatric rhinosinusitis. Arch Otolaryngol Head Neck Surg 128:971–974PubMed Mitchell R, Kelly J, Wagner J (2002) Bilateral orbital complications of pediatric rhinosinusitis. Arch Otolaryngol Head Neck Surg 128:971–974PubMed
17.
Zurück zum Zitat Som PM, Curtin HD (2003) Head and neck imaging, 4th edn. Mosby, St. Louis, pp 577–582 Som PM, Curtin HD (2003) Head and neck imaging, 4th edn. Mosby, St. Louis, pp 577–582
18.
Zurück zum Zitat Yücel ÖT, Öğretmenoğlu O (1998) Subdural empyema and blindness due to cavernous sinus thromosis in acute frontal sinusitis. Int J Pediatr Otorhinolaryngol 46:121–125CrossRefPubMed Yücel ÖT, Öğretmenoğlu O (1998) Subdural empyema and blindness due to cavernous sinus thromosis in acute frontal sinusitis. Int J Pediatr Otorhinolaryngol 46:121–125CrossRefPubMed
19.
Zurück zum Zitat Arjmand EM, Lusk RP, Muntz HR (1993) Pediatric sinusitis and subperiosteal orbital abscess formation: diagnosis and treatment. Otolaryngol Head Neck Surg 109:886–894PubMed Arjmand EM, Lusk RP, Muntz HR (1993) Pediatric sinusitis and subperiosteal orbital abscess formation: diagnosis and treatment. Otolaryngol Head Neck Surg 109:886–894PubMed
20.
Zurück zum Zitat Tarazi AE, Shikani AH (1991) Irreversible unilateral vision loss due to acute sinusitis. Arch Otolaryngol Head Neck Surg 117:1400–1407PubMed Tarazi AE, Shikani AH (1991) Irreversible unilateral vision loss due to acute sinusitis. Arch Otolaryngol Head Neck Surg 117:1400–1407PubMed
21.
Zurück zum Zitat Pond F, Berkowitz RG (1999) Superolateral subperiosteal orbital abscess complicating sinusitis in a child. Int J Pediatr Otorhinolaryngol 48:255–258CrossRefPubMed Pond F, Berkowitz RG (1999) Superolateral subperiosteal orbital abscess complicating sinusitis in a child. Int J Pediatr Otorhinolaryngol 48:255–258CrossRefPubMed
22.
Zurück zum Zitat Eustis HS, Mafee MF, Walton C, et al (1998) MR imaging and CT of orbital infections and complication in acute rhinosinusitis. Radiol Clin N Am 36:1165–1183PubMed Eustis HS, Mafee MF, Walton C, et al (1998) MR imaging and CT of orbital infections and complication in acute rhinosinusitis. Radiol Clin N Am 36:1165–1183PubMed
23.
Zurück zum Zitat Assefa D, Dalitz E, Handrick W, et al (1994) Septic cavernous sinus thrombosis following infection of ethmoidal and maxillary sinuses: a case report. Int J Pediatr Otorhinolaryngol 29:249–255CrossRefPubMed Assefa D, Dalitz E, Handrick W, et al (1994) Septic cavernous sinus thrombosis following infection of ethmoidal and maxillary sinuses: a case report. Int J Pediatr Otorhinolaryngol 29:249–255CrossRefPubMed
24.
Zurück zum Zitat Kim SH, Chang KH, Song IC, et al (1997) Brain abscess and brain tumor: discrimination with in-vivo H-1 MR spectroscopy. Radiology 204:239–245PubMed Kim SH, Chang KH, Song IC, et al (1997) Brain abscess and brain tumor: discrimination with in-vivo H-1 MR spectroscopy. Radiology 204:239–245PubMed
25.
Zurück zum Zitat Johnson DL, Markle BM, Wiedermann BL, et al (1998) Treatment of intracranial abscesses associated with sinusitis in children and adolescents. J Pediatr 113:15–23 Johnson DL, Markle BM, Wiedermann BL, et al (1998) Treatment of intracranial abscesses associated with sinusitis in children and adolescents. J Pediatr 113:15–23
26.
Zurück zum Zitat Maniglia AJ, Goodwin WJ, Arnold JE, et al (1989) Intracranial abscesses secondary to nasal, sinus, and orbital infections in adults and children. Arch Otoloaryngol Head Neck Surg 115:1424–1429 Maniglia AJ, Goodwin WJ, Arnold JE, et al (1989) Intracranial abscesses secondary to nasal, sinus, and orbital infections in adults and children. Arch Otoloaryngol Head Neck Surg 115:1424–1429
27.
Zurück zum Zitat Bambakidis NC, Cohen AR (2001) Intracranial complications of frontal sinusitis in children: Pott’s puffy tumor revisited. Pediatr Neurosurg 35:82–89CrossRefPubMed Bambakidis NC, Cohen AR (2001) Intracranial complications of frontal sinusitis in children: Pott’s puffy tumor revisited. Pediatr Neurosurg 35:82–89CrossRefPubMed
28.
Zurück zum Zitat Broberg T, Murr A, Fischbein N (1999) Devastating complications of acute pediatric bacterial sinusitis. Otolaryngol Head Neck Surg 120:575–579CrossRefPubMed Broberg T, Murr A, Fischbein N (1999) Devastating complications of acute pediatric bacterial sinusitis. Otolaryngol Head Neck Surg 120:575–579CrossRefPubMed
29.
Zurück zum Zitat Barkovich JA (2000) Pediatric neuroimaging. Lippincott Williams and Wilkins, Philadelphia, pp 798–799 Barkovich JA (2000) Pediatric neuroimaging. Lippincott Williams and Wilkins, Philadelphia, pp 798–799
30.
Zurück zum Zitat Pott P (1760) Observations on the nature and consequences of wounds and contusions of the head, etc. C. Hitch and L. Hawes, London, pp 38–58 Pott P (1760) Observations on the nature and consequences of wounds and contusions of the head, etc. C. Hitch and L. Hawes, London, pp 38–58
Metadaten
Titel
Complications of pediatric paranasal sinusitis
verfasst von
Janet R. Reid
Publikationsdatum
01.12.2004
Erschienen in
Pediatric Radiology / Ausgabe 12/2004
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-004-1252-2

Weitere Artikel der Ausgabe 12/2004

Pediatric Radiology 12/2004 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.