The efficacy of antibiotic therapy in the treatment of complicated acute sinusitis in children – the initial report

*Lechosław P. Chmielik, Teresa Ryczer, Mieczysław Chmielik

Summary
Introduction. Acute ethmoid sinusitis in children can result in severe complications. The treatment consists of antibiotic therapy and in certain cases surgery is mandatory.
Material and methods. We analyzed the clinical data of 45 children who were treated in the Department of Pediatric Otolaryngology of Medical University of Warsaw from January 2005 to January 2011 due to acute complicated ethmoiditis. We analyzed demographic characteristics, clinical signs and symptoms, applied treatment and duration of hospital stay. The presenting complications of acute sinusitis were also taken into account.
Conclusions. The first-line treatment of acute complicated sinusitis in children is intravenous antibiotic therapy. The decision whether the surgery should be performed is made in relation to the clinical condition of the patient. The findings of radiological examinations have also to be taken under consideration. There is a need of multidisciplinary medical care in patients with severe intraorbital and intracranial complications. Ethmoidectomy and maxillary sinus puncture have been the main surgical approaches. Beck puncture was done in 2 cases.

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