Retrospective Study
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Otorhinolaryngol. Feb 28, 2015; 5(1): 30-36
Published online Feb 28, 2015. doi: 10.5319/wjo.v5.i1.30
Complicated sinusitis in children: 18 cases report
Ali Mardassi, Nabil Mathlouthi, Hajer Mbarek, Chiraz Halouani, Sameh Mezri, Cyrine Zgolli, Ghassen Chebbi, Rania Ben Mhamed, Khemaies Akkari, Sonia Benzarti
Ali Mardassi, Nabil Mathlouthi, Hajer Mbarek, Chiraz Halouani, Sameh Mezri, Cyrine Zgolli, Ghassen Chebbi, Rania Ben Mhamed, Khemaies Akkari, Sonia Benzarti, ENT Department, Military Hospital, Tunis 1008, Tunisia
Author contributions: All authors contributed to the collection of data, the redaction of the manuscript and had approved this final version of the article.
Ethics approval: The study has been approved by the medical ethics committee of the military hospital, Tunis, Tunisia.
Informed consent: The legal guardian of all study participants provided informed written consent prior to study enrollment.
Conflict-of-interest: None.
Data sharing: Technical appendix, statistical code, and dataset available from the corresponding author at alimardassi@gmail.com.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ali Mardassi, MD, ENT Department, Military Hospital, Montfleury, Tunis 1008, Tunisia. alimardassi@gmail.com
Telephone: +216-22-552252
Received: September 27, 2014
Peer-review started: September 28, 2014
First decision: November 19, 2014
Revised: December 13, 2014
Accepted: December 29, 2014
Article in press: December 31, 2014
Published online: February 28, 2015
Processing time: 137 Days and 10.2 Hours
Core Tip

Core tip: Rhinosinusitis is a common condition in childhood. However, complicated cases occur less frequently and are potentially life-threatening. The clinical presentation is often modified by a prior antibiotic prescription. In this paper we report our experience in the management of complicated sinusitis in infants and compare it with literature data. Orbito-cranial extension must be suspected in presence of proptosis, Swelling and/or redness of the eye or persistent headache. Urgent contrast-enhanced computed tomography-scan is the recommended initial imaging. Once the diagnosis confirmed, intravenous antibiotherapy should be started. Surgery is indicated in selected cases. A regular follow-up is mandatory.