A Scoping Review of the Intracranial Complications of Pediatric Sinusitis.

Autor: Cress VJ; Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota, USA., Green KJ; Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA., Jain A; Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Viaud-Murat EM; Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA., Patel PA; Department of Pediatric Otolaryngology, Nemours Children's Hospital, Wilmington, Delaware, USA., Wiedermann JP; Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota, USA.; Department of Pediatric Otolaryngology, Mayo Clinic, Rochester, Minnesota, USA.
Jazyk: angličtina
Zdroj: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2024 Oct; Vol. 171 (4), pp. 937-945. Date of Electronic Publication: 2024 Jun 19.
DOI: 10.1002/ohn.862
Abstrakt: Objective: Intracranial complications of pediatric sinusitis are uncommon but are often associated with significant morbidity, especially when appropriate care is delayed. The present study aimed to identify commonalities for the development and progression of these complications in the pediatric population.
Data Sources: CENTRAL, CINAHL, Citation searching, ClinicalTrials.gov, Embase, Google Scholar, MEDLINE, PsycINFO, PubMed, Scopus, Web of Science, and World Health Organization.
Review Methods: A comprehensive literature search was performed using Preferred Reporting Items for Systematic Reviews and Meta-analyses scoping review guidelines. Studies describing intracranial infections secondary to sinusitis in the pediatric population (age <18 years) were included. Studies in which adult and pediatric data were not separated and studies in which the pediatric cohort was fewer than 10 cases were excluded. Ultimately, 33 studies describing 1149 unique patient cases were included for data collection and analysis.
Results: Our analysis revealed intracranial complications were more common in adolescent males. Most children presented with over 1 week of vague symptoms, such as headache and fever. The majority of complications were diagnosed radiographically with computed tomography. Subdural empyema and epidural abscess were the most common intracranial complications reported. On average, patients were admitted for over 2 weeks. Most children were treated with a combination of antibiotics and surgical intervention. Complications were rare, but when present, were often associated with significant morbidity.
Conclusion: This scoping review of the available literature has provided insight into commonalities among pediatric patients who develop intracranial complications of sinusitis, providing a foundation for further study to inform medical and surgical decision-making in this population.
(© 2024 American Academy of Otolaryngology–Head and Neck Surgery Foundation.)
Databáze: MEDLINE
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