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ALLMedicine™ Pediatric Sinusitis Center - Research & Reviews

Clinical consensus statement: appropriate use of computed tomography for paranasal sinu...
https://doi.org/10.1177/0194599812463848
Otolaryngology--head and Neck Surgery : Official Journal ... Setzen G, Ferguson BJ et. al.

Oct 11th, 2012 - To develop a consensus statement on the appropriate use of computed tomography (CT) for paranasal sinus disease. A modified Delphi method was used to refine expert opinion and reach consensus by the panel. After 3 full Delphi rounds, 33 items reached consensus and 16 statements were dropped because of not reaching consensus or redundancy. The statements that reached consensus were grouped into ...

Serotype 19A is the most common Streptococcus pneumoniae isolate in children with chron...
https://doi.org/10.1097/INF.0b013e3181a24557
The Pediatric Infectious Disease Journal; McNeil JC, Hulten KG et. al.

Jul 28th, 2009 - The introduction of the heptavalent pneumococcal conjugate vaccine has altered the epidemiology of acute otitis media and invasive pneumococcal disease in children. However, sparse data regarding pediatric sinusitis are available since the licensure of pneumococcal conjugate vaccine. In this study, sinus cultures which grew Streptococcus pneumoniae at Texas Children's Hospital were evaluated wi...

Safety and Efficacy of Balloon Sinuplasty in Pediatric Sinusitis
https://clinicaltrials.gov/ct2/show/NCT00939471

Sep 4th, 2017 - A non-randomized, multi-center, prospective, clinical study intended to evaluate the safety and efficacy of balloon sinuplasty devices in pediatric patients with longstanding sinusitis following failed medical management.

Intracranial complications of pediatric sinusitis: Identifying risk factors associated ...
https://doi.org/10.1016/j.ijporl.2018.06.019
International Journal of Pediatric Otorhinolaryngology; Schupper AJ, Jiang W et. al.

Jul 29th, 2018 - Intracranial extension is one of the most serious and morbid complications of pediatric sinusitis. Managing this complication continues to be challenging even after widespread pneumococcal vaccination adoption. We aim to identify risk factors associated with complicated clinical courses, and to assess for altering microbial communities and increased antibiotic resistance. A retrospective review...

Are antibiotics effective in the treatment of acute sinusitis in children and adolescents?
https://www.mdedge.com/familymedicine/article/60617/pediatrics/are-antibiotics-effective-treatment-acute-sinusitis-children
The Journal of Family Practice; James Henderson, MD, James J. Stevermer, MD, MSPH

BACKGROUND: The American Academy of Pediatrics recommends that pediatric sinusitis be a clinical diagnosis, based on persistent rhinosinusitis and cough for more than 10 to 14 days. Limited-spectrum antibiotics are recommended when antibiotic treatment is felt necessary.

Effects of nasal saline lavage on pediatric sinusitis symptoms and disease-specific qua...
https://doi.org/10.1177/014556131509400212
Ear, Nose, & Throat Journal; Lin SY, Baugher KM et. al.

Feb 4th, 2015 - We conducted a prospective study to assess (1) the effects of daily nasal irrigation in children with chronic sinonasal symptoms and (2) the impact that treatment had on disease-specific quality of life as assessed by a validated instrument, the five-item Sinus and Nasal Quality of Life Survey (SN-5), and by an overall nasal quality-of-life (NQL) score based on a 10-point faces scale. Our patie...

Antral lavage using the Luma transilluminaton wire and vortex irrigator--a safe and eff...
https://doi.org/10.1016/j.ijporl.2010.11.021
International Journal of Pediatric Otorhinolaryngology; Zeiders JW, Dahya ZJ

Feb 7th, 2011 - While the treatment of pediatric sinusitis can be controversial, there is evidence that performing antral lavage in combination with adenoidectomy can improve treatment outcomes. We present an "over the wire" technique using new technology that can improve accuracy and reliability when performing antral lavage. The LUMA fiberoptic light wire (Acclarent Inc.) and Vortex sinus irrigation catheter...

Systematic review and case report: Intracranial complications of pediatric sinusitis.
https://doi.org/10.1016/j.ijporl.2016.05.009
International Journal of Pediatric Otorhinolaryngology; Patel NA, Garber D et. al.

Jun 4th, 2016 - Intracranial complications of rhinosinusitis are rare in the post-antibiotic era. However, due to potentially devastating outcomes, prompt recognition and management are essential. This study aims to perform the first systematic review of the intracranial complications of rhinosinusitis in order to better characterize their clinical presentation, diagnosis, and treatment, and report a case of f...

Differential characteristics of pediatric sinusitis in patients who underwent endoscopi...
https://doi.org/10.1111/coa.12568
Clinical Otolaryngology : Official Journal of ENT-UK ; Of... Min HJ, Chung HJ et. al.

Oct 17th, 2015 - We hypothesised that paediatric chronic sinusitis patients might have various clinical characteristics, depending on age, compared symptoms, physical findings and clinical features in younger children and older adolescent patients who underwent endoscopic sinus surgery. A retrospective review of medical records. A total of 195 paediatric patients who underwent Endoscopic sinus surgery were enro...

Regional and socioeconomic disparities in emergency department use of radiographic imag...
https://doi.org/10.2500/ajra.2014.28.3992
American Journal of Rhinology & Allergy; Sedaghat AR, Cunningham MJ et. al.

Apr 10th, 2014 - Acute pediatric sinusitis (APS) is a common complication of pediatric upper respiratory tract infections. Children with all degrees of APS severity may present to emergency departments (EDs) for evaluation and management. This study was designed to analyze the use of imaging in APS presenting to U.S. EDs. A cross-sectional analysis of the 2008 National Emergency Department Sample database was p...

Masked subdural empyema secondary to frontal sinusitis.
https://doi.org/10.1016/j.ajem.2011.08.003
The American Journal of Emergency Medicine; Calik M, Iscan A et. al.

Oct 27th, 2011 - Intracranial complications of pediatric sinusitis are rare but potentially life threatening. These complications include cavernous sinus thrombosis, orbital infection, meningitis, and subdural empyema. Children with these complications may experience significant morbidity from their infection. In such cases, delay in diagnosis and treatment may lead to severe brain damage or death. Emergency ph...

Chapter 5: Pediatric rhinosinusitis: definitions, diagnosis and management--an overview.
https://doi.org/10.2500/ajra.2013.27.3896
American Journal of Rhinology & Allergy; Chandran SK, Higgins TS

Jun 4th, 2013 - Rhinosinusitis is common in the pediatric population; however, diagnostic and management techniques often differ when compared with adult rhinosinusitis. Multidisciplinary guidelines have outlined the diagnostic criteria for pediatric rhinosinusitis. Although acute rhinosinusitis is a more infectious phenomenon, chronic sinusitis involves a more multifactorial etiology. This article outlines so...

A cost-effectiveness analysis of the up-front use of balloon catheter dilation in the t...
https://doi.org/10.1016/j.amjoto.2018.04.007
American Journal of Otolaryngology; House LK, Lewis AF et. al.

Apr 30th, 2018 - The treatment of pediatric sinusitis continues to be a controversial topic. It has been recommended to treat pediatric chronic rhinosinusitis (CRS) with adenoidectomy before proceeding to more invasive techniques. There are concerns regarding side effects of endoscopic sinus surgery in pediatric patients. With the advent of balloon catheter dilation (BCD) as a minimally invasive technique, some...

Intracranial Complications of Pediatric Sinusitis.
https://doi.org/10.1097/PEC.0000000000001201
Pediatric Emergency Care; Wiersma AJ, Vu T

Jun 14th, 2017 - "Headache and fever" is a common presentation to the urgent care and emergency department setting and can have many etiologies. We present a case of a 10-year-old girl who presented with headache and fever and was found to have intracranial extension of sinusitis despite lack of typical sinus or chronic upper respiratory tract infection symptoms. This case illustrates the need in the emergency ...

Diagnosis and management of pediatric sinusitis: A survey of primary care, otolaryngolo...
https://doi.org/10.1016/j.ijporl.2018.02.039
International Journal of Pediatric Otorhinolaryngology; Newton L, Kotowski A et. al.

Apr 1st, 2018 - The aims of this project were two-fold: 1) To assess pediatric primary care (PCP), pediatric otolaryngology (ENT) and pediatric urgent care (UC) providers' perception of their adherence to the 2013 American Academy of Pediatrics (AAP) established guidelines for the diagnosis and management of acute bacterial rhinosinusitis (ABRS) in children 1-18 years old and 2) to assess the same providers' p...

Dentigerous cyst associated with a displaced tooth in the maxillary sinus: an unusual c...
https://doi.org/10.1007/s00247-009-1337-z
Pediatric Radiology; Prabhu SP, Padwa BL et. al.

Jul 7th, 2009 - We report an unusual case of a displaced maxillary molar and associated dentigerous cyst within the maxillary sinus in an adolescent presenting as recurrent sinusitis. Although a rare cause of sinusitis in children, dentigerous cysts should be included in the differential diagnosis for causes of persistent or recurrent sinusitis in this age group. This report provides further evidence for obtai...

Chapter 5: Pediatric rhinosinusitis: Definitions, diagnosis and management-An overview.
https://doi.org/10.2500/ajra.2013.27.3896
American Journal of Rhinology & Allergy; Chandran SK, Higgins TS

Apr 30th, 2013 - Rhinosinusitis is common in the pediatric population; however, diagnostic and management techniques often differ when compared with adult rhinosinusitis. Multidisciplinary guidelines have outlined the diagnostic criteria for pediatric rhinosinusitis. Although acute rhinosinusitis is a more infectious phenomenon, chronic sinusitis involves a more multifactorial etiology. This article outlines so...

Long-term evaluation after endoscopic sinus surgery for chronic pediatric sinusitis wit...
https://doi.org/10.1016/j.anl.2011.10.019
Auris, Nasus, Larynx; Tsukidate T, Haruna S et. al.

Feb 21st, 2012 - Long-term retrospective evaluation was performed of computed tomography (CT) images and endoscopic findings after endoscopic sinus surgery for 88 cases of chronic pediatric sinusitis with nasal polyps. The objective was to determine the appropriate duration of such postoperative evaluation for children. Fifty-one patients had both sinusitis and nasal polyps (BSP group), and the surgical procedu...

Medical Treatment of Pediatric Sinusitis
https://emedicine.medscape.com/article/873149-overview

Apr 25th, 2018 - Practice Essentials Pediatric sinusitis is a common problem treated by primary care physicians and otolaryngologists. Although this disorder has been addressed for many centuries, full appreciation for its scope, pathophysiology, diagnosis, treatment, and complications has been realized only relatively recently. Children with occasional episodes of acute sinusitis following a routine cold are t...

Pediatric Sinusitis Surgery 
https://emedicine.medscape.com/article/873298-print

Oct 30th, 2018 - Background The paranasal sinuses consist of 4 paired sinuses, including the maxillary sinuses, ethmoid sinuses, frontal sinuses, and sphenoid sinuses. Maxillary sinuses lie under the cheek; ethmoid sinuses lie between the eyes; frontal sinuses lie above the eyes in the center of the forehead; and sphenoid sinuses lie in the back of the nose and nasal cavity. Infected fluid in the sinuses is ter...