Pediatric Periorbital Infections: 5‐Year Retrospective Study

Abstract

POSTERS(no perforation, no adhesion, no retraction, and no effusion) and preservation of hearing at 1 year after surgery. Results:The graft success rate was 85%, similar to adult patients. However, the defined success rate was only 54%. There were 8 cases with graft failure, 3 cases with retraction pocket, 3 cases with OME, 3 cases with pearl formation, 2 cases with adhesion of tympanic membrane, and 2 cases with postoperative abscess needing re-operation. The success rate was 70% in patients with normal contralateral ear and 37% in patients with diseased contralateral ear (eg, CMO, OME, cholesteatoma, and atelectasis). There was a significant difference concerning the state of the contra-lateral ear. Conclusion:The true success rate of a pediatric myringoplasty seemed to be lower than commonly expected and quoted to parents. The results are similar to other reports using a similar definition of success. We should especially pay attention to myringoplasty for patients with diseased contra-lateral ears. Objective: Adenotonsillar hypertrophy causes obstructive sleep apnea (OSA) and otitis media with effusion (OME). Is there also an association between OSA and OME? Pediatric OtolaryngologyMethod: A total of 150 children with suspected OSA aged 4 to 8 years underwent polysomnography and tympanometry.Results: A total of 72% were diagnosed with OSAS (apnea hypopnea index (AHI) >1). 46% had an AHI >5. 36% of the children had a tympanogram type A (Jerger) on both ears (normally ventilated) and 22% a type B on both ears (suggesting OME). Using Kruskal-Wallis test, children with an AHI 5 did not statistically significantly differ in the prevalence of normally ventilated ears and OME. Accordingly, Mann-Whitney test showed that children with normally ventilated ears did not have a statistically different AHI, apnea index, hypopnea index or minimal oxygen saturation than children suffering from OME. Conclusion:Children with OME are not more likely to be diagnosed with OSAS and vice versa. This finding indicates a stronger association between adenoid hypertrophy and OME respectively tonsillar hypertrophy and OSAS. Pediatric OtolaryngologyPediatric Otogenic Sinus Thrombosis and the Role of Anticoagulation Robert H. Chun, MD (presenter); Matthew Sitton, MD Objective: 1) Discuss the presentation, work up, and treatment of a series of pediatric patients presenting with otomastoiditis with sigmoid sinus thrombosis (OSST). 2) Review the literature in discussing surgical treatment and the role of anticoagulation for sinus thrombosis from complicated otomastoiditis.Method: Retrospective case series of 3 patients with otomastoidits and lateral sinus thrombosis were included in the study. Type of anticoagulation used and both clinical and radiographic outcomes were compared. Pediatric literature review was conducted using Pubmed search terms "thrombosis and otitis media and anticoagulation" limited to English.Results: Three patients were diagnosed with OSST. One patient presented with diplopia and otitic hydrocephalus. All patients wer...