摘要
AIM: To precise the clinical characteristics of rhinosinusitis in pediatric population, their complications and therapeutic approaches.METHODS: All infants younger than 15 years adm-itted to the Ear, Nose and Throat Department of the Military Hospital of Tunis, Tunisia for a complicated rhinosinusitis between 2006 and 2013 were evaluated. Data related to patients and the disease were collected and analyzed: past medical history, complaints, clinical examination, radiologic findings, therapeutic management and evolution. RESULTS: Eighteen cases were identified with a mean age of 5.1 years(5 mo to 13 years)(SD ± 3.1). A male preponderance was noted in 72% of the cases. Rhinorrhea and fever were the most common presenting symptoms. Radiological explorations(computed tomography-scan ± magnetic resonance imaging) have been practiced for all of our patients. Orbital involvement was found in 77% of the cases associated with meningitis in 2 cases. Antibiotherapy was prescribed to all our patients. Surgical procedures were performed in 8 cases: endoscopic sinus surgery and/or external drainage of orbital abscess. After an average follow-up period of 2.5 years, 3 of our patients were lost. The ophthalmic sequelae noted in 3 cases(16%) were permanent and caused important functional and social problems. A favourable outcome has been noted in the rest of our patients. CONCLUSION: Rhinosinusitis can be extremely severe in children requiring urgent radiological imaging and aggressive treatment to avoid orbital and intracranial complications.
AIM： To precise the clinical characteristics of rhinosinusitis in pediatric population, their complications and therapeutic approaches.METHODS： All infants younger than 15 years admitted to the Ear, Nose and Throat Department of the Military Hospital of Tunis, Tunisia for a complicated rhinosinusitis between 2006 and 2013 were evaluated. Data related to patients and the disease were collected and analyzed： past medical history, complaints, clinical examination, radiologic findings, therapeutic management and evolution.RESULTS： Eighteen cases were identifed with a me-an age of 5.1 years （5 mo to 13 years） （SD ± 3.1）. A male preponderance was noted in 72% of the cases. Rhinorrhea and fever were the most common presenting symptoms. Radiological explorations （computed tomography-scan ± magnetic resonance imaging） have been practiced for all of our patients. Orbital involvement was found in 77% of the cases associated with meningitis in 2 cases. Antibiotherapy was prescribed to all our patients. Surgical procedures were performed in 8 cases： endoscopic sinus surgery and/or external drainage of orbital abscess. After an average follow-up period of 2.5 years, 3 of our patients were lost. The ophthalmic sequelae noted in 3 cases （16%） were permanent and caused important functional and social problems. A favourable outcome has been noted in the rest of our patients. CONCLUSION： Rhinosinusitis can be extremely severe in children requiring urgent radiological imaging and aggressive treatment to avoid orbital and intracranial complications.
基金
approved by the medical ethics committee of the military hospital,Tunis,Tunisia
