Prevalence of Incidental Paranasal Sinuses Opacification in Pediatric Patients

Diament, Michael J.; Senac, Melvin O.; Gilsanz, Vicente; Baker, Sherryl; Gillespie, Terri; Larsson, Sven

doi:10.1097/00004728-198705000-00011

Cited by 166 publications

(74 citation statements)

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“…16 As technology advanced and CT scanning of the central nervous system and skull became prevalent, several studies reported on incidental abnormalities of the paranasal sinuses that were observed in children. 23 Key Action Statement 2B…”

Section: Optionmentioning

confidence: 99%

Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years

Wald,

Applegate,

Bordley

et al. 2013

Pediatrics

446

368

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OBJECTIVE: To update the American Academy of Pediatrics clinical practice guideline regarding the diagnosis and management of acute bacterial sinusitis in children and adolescents. METHODS: Analysis of the medical literature published since the last version of the guideline (2001). RESULTS: The diagnosis of acute bacterial sinusitis is made when a child with an acute upper respiratory tract infection (URI) presents with (1) persistent illness (nasal discharge [of any quality] or daytime cough or both lasting more than 10 days without improvement), (2) a worsening course (worsening or new onset of nasal discharge, daytime cough, or fever after initial improvement), or (3) severe onset (concurrent fever [temperature ≥39°C/102.2°F] and purulent nasal discharge for at least 3 consecutive days). Clinicians should not obtain imaging studies of any kind to distinguish acute bacterial sinusitis from viral URI, because they do not contribute to the diagnosis; however, a contrast-enhanced computed tomography scan of the paranasal sinuses should be obtained whenever a child is suspected of having orbital or central nervous system complications. The clinician should prescribe antibiotic therapy for acute bacterial sinusitis in children with severe onset or worsening course. The clinician should either prescribe antibiotic therapy or offer additional observation for 3 days to children with persistent illness. Amoxicillin with or without clavulanate is the first-line treatment of acute bacterial sinusitis. Clinicians should reassess initial management if there is either a caregiver report of worsening (progression of initial signs/symptoms or appearance of new signs/symptoms) or failure to improve within 72 hours of initial management. If the diagnosis of acute bacterial sinusitis is confirmed in a child with worsening symptoms or failure to improve, then clinicians may change the antibiotic therapy for the child initially managed with antibiotic or initiate antibiotic treatment of the child initially managed with observation. CONCLUSIONS: Changes in this revision include the addition of a clinical presentation designated as “worsening course,” an option to treat immediately or observe children with persistent symptoms for 3 days before treating, and a review of evidence indicating that imaging is not necessary in children with uncomplicated acute bacterial sinusitis.

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Section: Optionmentioning

confidence: 99%

Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years

Wald,

Applegate,

Bordley

et al. 2013

Pediatrics

446

368

View full text Add to dashboard Cite

show abstract

“…According to Bolger et al these abnormalities could be induced by normal variation of normal mucosa, asymptomatic chronic sinus disease or mild to moderately symptomatic undiagnosed sinusitis. Diamant et al [5] found maxillary and ethmoidal thickening in 50% of patient. Similar figures were found by Gordts et al [6,7] who demonstrated in an MRI study of a non-ENT population of adults that there existed on 40% abnormalities of the mucosa, and in 45% of the cases in a non-ENT population of children.…”

Section: Introductionmentioning

confidence: 95%

Haziness in X-Ray Paranasal Sinus Water’s View in Sinusitis: A Fact or Fiction

Gujrathi¹,

Wakode²

2011

Indian J Otolaryngol Head Neck Surg

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“…Partial or complete opacification of the maxillary sinus in the first few years of life is normal [1].…”

Section: A -mentioning

confidence: 99%

“…4A). During the first few years of life, opacification of ethmoidal air cells is commonly seen in children [1]. Pneumatization progresses in a posterior direction, enlanging the posterior air cells until the lateral and medial walls of the ethmoidal sinuses are parallel in the anterior to posterior direction (Fig.…”

Section: Pneumatization Of the Ethmoidal Sinusmentioning

confidence: 99%