Isolated inflammatory sphenoid sinus disease in children.
Isolated inflammatory disease of the sphenoid sinus is very uncommon in the pediatric population. A 10-year review of all patients at our institution 16 years of age or younger with inflammatory sphenoid sinus disease found 8 patients with isolated sphenoid sinusitis and 3 with sphenoid mucoceles. The most common symptoms were headache and visual disturbance. Five patients with uncomplicated sinusitis were successfully managed medically, while 3 with either complicated sinusitis or sinusitis not responding to antibiotics were treated by endoscopic sphenoidotomy. All patients with a mucocele were treated surgically. Isolated inflammatory sphenoid sinusitis should be considered in children age 7 years or older who present with headache that does not respond to simple analgesia. Delayed diagnosis and advanced disease may lead to life-threatening complications.
Department of Otolaryngology, Royal Children's Hospital, Melbourne, Australia.
Brent A
BA
Uren
Robert G
RG
Berkowitz
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000188:drug therapy / Q000382:microbiology; D002648:Child; D004351:Drug Resistance; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D008297:Male; D009078:Mucocele / Q000150:complications / Q000382:microbiology* / Q000601:surgery; D012189:Retrospective Studies; D015524:Sphenoid Sinusitis / Q000150:complications / Q000382:microbiology* / Q000601:surgery; D014786:Vision Disorders / Q000209:etiology
D000900:Anti-Bacterial Agents