Complicated Sinusitis in Children: Should We Increase Awareness After the Pandemic?

Abstract

PMID: 38621165 DOI: https://doi.org/10.1097/inf.0000000000004357

Link: https://scholar.google.com/citations?view_op=view_citation&hl=en&user=70cz3rUAAAAJ&cstart=20&pagesize=80&citation_for_view=70cz3rUAAAAJ:M3ejUd6NZC8C

We read with great interest the manuscript written by Smiljkovic et al, 1 about intracranial suppurative complications of sinusitis in children. Acute bacterial sinusitis is common in children, and despite being mostly a disorder with a favorable course, a percentage ranging from 3.7% to 8.8% may present serious complications. 2 Furthermore, as outlined by Smiljkovic et al, 1 there is a risk of persistent neurological sequelae, especially in children with extensive intracranial involvement. We retrospectively analyzed data of 38 children admitted to our Hospital from January 2013 to December 2023 due to complicated sinusitis. About 65.8% were males (25/38) with a median age of 10 (interquartile ranges: 7–13) years. Most of them had been hospitalized for isolated orbital complications (29/38, 76.3%), and of these 14/29 had postseptal cellulitis. Intracranial complications were identified in 9/38 children (23.7%), including …