Medical Treatment of Pediatric Sinusitis Differential Diagnoses

  • Author: Hassan H Ramadan, MD, MSc; Chief Editor: Arlen D Meyers, MD, MBA   more...
 
Updated: Mar 22, 2012
 
 

Differential Diagnoses

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Contributor Information and Disclosures
Author

Hassan H Ramadan, MD, MSc  Professor and Vice-Chair, Department of Otolaryngology-Head and Neck Surgery, Professor, Department of Pediatrics, West Virginia University School of Medicine

Hassan H Ramadan, MD, MSc is a member of the following medical societies: American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, and American Rhinologic Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Ted L Tewfik, MD, FRCSC  Professor, Department of Otolaryngology-Head and Neck Surgery, Director of Continuing Medical Education of Otolaryngology, McGill University Medical School; Director of Professional Affairs of Otolaryngology, Division of Otolaryngology, Montreal Children's Hospital; Senior Staff, Montreal General Hospital and Royal Victoria Hospital

Ted L Tewfik, MD, FRCSC, is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Society of Pediatric Otolaryngology, Canadian Medical Association, Canadian Society of Otolaryngology-Head & Neck Surgery, Quebec Medical Association, and Royal College of Physicians and Surgeons of Canada

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Gregory C Allen, MD  Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine

Gregory C Allen, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Laryngological Rhinological and Otological Society, American Medical Association, Christian Medical & Dental Society, and Colorado Medical Society

Disclosure: Nothing to disclose.

Christopher L Slack, MD  Private Practice in Otolaryngology and Facial Plastic Surgery, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders

Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association

Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA  Professor of Otolaryngology, Dentistry, and Engineering, University of Colorado School of Medicine

Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society

Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation Unrestricted gift Unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Medvoy Ownership interest Management position; Cerescan Imaging Consulting; Headwatersmb Consulting fee Consulting; Venturequest Royalty Consulting

Additional Contributors

The authors and editors of eMedicine gratefully acknowledge the contributions of previous authors Karla R Brown, MD, and Lincoln Lippincott, MD, to the development and writing of this article.

References

  1. Kay DJ, Rosenfeld RM. Quality of life for children with persistent sinonasal symptoms. Otolaryngol Head Neck Surg. Jan 2003;128(1):17-26. [Medline].

  2. Shin KS, Cho SH, Kim KR, et al. The role of adenoids in pediatric rhinosinusitis. Int J Pediatr Otorhinolaryngol. Nov 2008;72(11):1643-50. [Medline].

  3. Sivasli E, Sirikci A, Bayazyt YA, et al. Anatomic variations of the paranasal sinus area in pediatric patients with chronic sinusitis. Surg Radiol Anat. Feb 2003;24(6):400-5. [Medline].

  4. Bhattacharyya N, Jones DT, Hill M, Shapiro NL. The diagnostic accuracy of computed tomography in pediatric chronic rhinosinusitis. Arch Otolaryngol Head Neck Surg. Sep 2004;130(9):1029-32. [Medline].

  5. Jeffe JS, Bhushan B, Schroeder JW Jr. Nasal saline irrigation in children: a study of compliance and tolerance. Int J Pediatr Otorhinolaryngol. Mar 2012;76(3):409-13. [Medline].

  6. Wei JL, Sykes KJ, Johnson P, He J, Mayo MS. Safety and efficacy of once-daily nasal irrigation for the treatment of pediatric chronic rhinosinusitis. Laryngoscope. Sep 2011;121(9):1989-2000. [Medline].

  7. Wallace DV, Dykewicz MS, Bernstein DI, et al. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol. Aug 2008;122(2 Suppl):S1-84. [Medline].

  8. American Academy of Pediatrics, Subcommittee on Management of Sinusitis and Comm. Clinical practice guideline: management of sinusitis. Pediatrics. Sep 2001;108(3):798-808. [Medline].

  9. Anon JB. Acute bacterial rhinosinusitis in pediatric medicine: current issues in diagnosis and management. Paediatr Drugs. 2003;5 Suppl 1:25-33. [Medline].

  10. Barbero GJ. Gastroesophageal reflux and upper airway disease. Otolaryngol Clin North Am. Feb 1996;29(1):27-38. [Medline].

  11. Bothwell MR, Parsons DS, Talbot A, Barbero GJ, Wilder B. Outcome of reflux therapy on pediatric chronic sinusitis. Otolaryngol Head Neck Surg. Sep 1999;121(3):255-62. [Medline].

  12. Buchman CA, Yellon RF, Bluestone CD. Alternative to endoscopic sinus surgery in the management of pediatric chronic rhinosinusitis refractory to oral antimicrobial therapy. Otolaryngol Head Neck Surg. Feb 1999;120(2):219-24. [Medline].

  13. Clement PA, Bluestone CD, Gordts F, et al. Management of rhinosinusitis in children: consensus meeting, Brussels, Belgium, September 13, 1996. Arch Otolaryngol Head Neck Surg. Jan 1998;124(1):31-4. [Medline].

  14. Dohlman AW, Hemstreet MP, Odrezin GT, Bartolucci AA. Subacute sinusitis: are antimicrobials necessary?. J Allergy Clin Immunol. May 1993;91(5):1015-23. [Medline].

  15. Garbe E, LeLorier J, Boivin JF, Suissa S. Inhaled and nasal glucocorticoids and the risks of ocular hypertension or open-angle glaucoma. JAMA. Mar 5 1997;277(9):722-7. [Medline].

  16. Gilger MA. Pediatric otolaryngologic manifestations of gastroesophageal reflux disease. Curr Gastroenterol Rep. Jun 2003;5(3):247-52. [Medline].

  17. Goldsmith AJ, Rosenfeld RM. Treatment of pediatric sinusitis. Pediatr Clin North Am. Apr 2003;50(2):413-26. [Medline].

  18. Gross CW, Gurucharri MJ, Lazar RH, Long TE. Functional endonasal sinus surgery (FESS) in the pediatric age group. Laryngoscope. Mar 1989;99(3):272-5. [Medline].

  19. Gungor A, Corey JP. Pediatric sinusitis: a literature review with emphasis on the role of allergy. Otolaryngol Head Neck Surg. Jan 1997;116(1):4-15. [Medline].

  20. Gwaltney JM Jr. Combined antiviral and antimediator treatment of rhinovirus colds. J Infect Dis. Oct 1992;166(4):776-82. [Medline].

  21. Herrmann BW, Forsen JW Jr. Simultaneous intracranial and orbital complications of acute rhinosinusitis in children. Int J Pediatr Otorhinolaryngol. May 2004;68(5):619-25. [Medline].

  22. Kaliner MA, Osguthorpe JD, Fireman P, et al. Sinusitis: bench to bedside. Current findings, future directions. J Allergy Clin Immunol. Jun 1997;99(6 Pt 3):S829-48. [Medline].

  23. Knutsson U, Stierna P, Marcus C, Carlstedt-Duke J, Carlstrom K, Bronnegard M. Effects of intranasal glucocorticoids on endogenous glucocorticoid peripheral and central function. J Endocrinol. Feb 1995;144(2):301-10. [Medline].

  24. Lesserson JA, Kieserman SP, Finn DG. The radiographic incidence of chronic sinus disease in the pediatric population. Laryngoscope. Feb 1994;104(2):159-66. [Medline].

  25. Mabry RL, Marple BF, Mabry CS. Outcomes after discontinuing immunotherapy for allergic fungal sinusitis. Otolaryngol Head Neck Surg. Jan 2000;122(1):104-6. [Medline].

  26. Mair EA, Bolger WE, Breisch EA. Sinus and facial growth after pediatric endoscopic sinus surgery. Arch Otolaryngol Head Neck Surg. May 1995;121(5):547-52. [Medline].

  27. Manning S. Surgical intervention for sinusitis in children. Curr Allergy Asthma Rep. May 2001;1(3):289-96. [Medline].

  28. Manning SC. Chronic sinusitis as a manifestation of primary immunodeficiency in adults. Am J Rhinol. 1994;8:29-34.

  29. Manning SC. Medical management of infectious and inflammatory disease. In: Cummings CW, et al, eds. Otolaryngology: Head and Neck Surgery. Vol 2. 3rd ed. St. Louis: Mosby; 1998:1135-1144.

  30. Manning SC. Paranasal sinus disease in children. Otolaryngol Head Neck Surg. 1993;171-176:1.

  31. McAlister WH, Lusk R, Muntz HR. Comparison of plain radiographs and coronal CT scans in infants and children with recurrent sinusitis. AJR Am J Roentgenol. Dec 1989;153(6):1259-64. [Medline].

  32. McCormick DP, John SD, Swischuk LE, Uchida T. A double-blind, placebo-controlled trial of decongestant-antihistamine for the treatment of sinusitis in children. Clin Pediatr (Phila). Sep 1996;35(9):457-60. [Medline].

  33. Meltzer EO. To use or not to use antihistamines in patients with asthma. Ann Allergy. Feb 1990;64(2 Pt 2):183-6. [Medline].

  34. Milczuk HA, Dalley RW, Wessbacher FW, Richardson MA. Nasal and paranasal sinus anomalies in children with chronic sinusitis. Laryngoscope. Mar 1993;103(3):247-52. [Medline].

  35. Muntz HR. Allergic fungal sinusitis in children. Otolaryngol Clin North Am. Feb 1996;29(1):185-22. [Medline].

  36. Parsons DS. Chronic sinusitis: a medical or surgical disease?. Otolaryngol Clin North Am. Feb 1996;29(1):1-9. [Medline].

  37. Pipkorn U, Proud D, Lichtenstein LM, Kagey-Sobotka A, Norman PS, Naclerio RM. Inhibition of mediator release in allergic rhinitis by pretreatment with topical glucocorticosteroids. N Engl J Med. Jun 11 1987;316(24):1506-10. [Medline].

  38. Rosenfeld RM. Pilot study of outcomes in pediatric rhinosinusitis. Arch Otolaryngol Head Neck Surg. Jul 1995;121(7):729-36. [Medline].

  39. Sanclement JA, Webster P, Thomas J, Ramadan HH. Bacterial biofilms in surgical specimens of patients with chronic rhinosinusitis. Laryngoscope. Apr 2005;115(4):578-82. [Medline].

  40. Shapiro GG, Virant FS, Furukawa CT, Pierson WE, Bierman CW. Immunologic defects in patients with refractory sinusitis. Pediatrics. Mar 1991;87(3):311-6. [Medline].

  41. Tanner SB, Fowler KC. Intravenous antibiotics for chronic rhinosinusitis: are they effective?. Curr Opin Otolaryngol Head Neck Surg. Feb 2004;12(1):3-8. [Medline].

  42. Ungkanont K, Damrongsak S. Effect of adenoidectomy in children with complex problems of rhinosinusitis and associated diseases. Int J Pediatr Otorhinolaryngol. Apr 2004;68(4):447-51. [Medline].

  43. Vandenberg SJ, Heatley DG. Efficacy of adenoidectomy in relieving symptoms of chronic sinusitis in children. Arch Otolaryngol Head Neck Surg. Jul 1997;123(7):675-8. [Medline].

  44. Vazquez E, Creixell S, Carreno JC, et al. Complicated acute pediatric bacterial sinusitis: Imaging updated approach. Curr Probl Diagn Radiol. May-Jun 2004;33(3):127-45. [Medline].

  45. Wolf G, Anderhuber W, Kuhn F. Development of the paranasal sinuses in children: implications for paranasal sinus surgery. Ann Otol Rhinol Laryngol. Sep 1993;102(9):705-11. [Medline].

 
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Preseptal cellulitis of the left eye. Courtesy of Dwight Jones, MD.
Axial CT scan of subperiosteal abscess of the left eye.
Coronal CT scan of subperiosteal abscess of the left eye.
Coronal CT scan of superior subperiosteal abscess of the left eye.
Axial CT scan of orbital cellulitis of the right eye.
 
 
 
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