Intracranial complications of pediatric sinusitis.

摘要: Objective To study intracranial extension of pediatric sinusitis, an infrequent but potentially fatal complication. Study design and setting Ten-year retrospective review at a tertiary children’s hospital identified 21 cases complications sinusitis. Results Thirteen males eight females with mean age 13.3 years were identified. Overall 18 (81%) exhibited abscess formation, most commonly epidural. Only 3 (14%) had meningitis alone. All 4 patients managed surgically, requiring craniotomy in 13 (61.9%) endoscopic sinus surgery (ESS) 10 (48%). Seven (33%) required multiple operations during admission. Nineteen (90%) total 30 organisms cultured. Oral flora was observed 12 (57%). Polymicrobial infections, seen 9 (43%), significantly associated the need for ( P = 0.02). Mean stay 15 days, length IV antibiotic 5 weeks. Conclusions Intracranial sinusitis often require craniotomy. polymicrobial infections prominent this series. EBM rating: C-4