SINUSITIS IN CHILDHOOD - 11/09/11
Résumé |
As little as 10 years ago, many physicians doubted that sinusitis was a pediatric disease. It was widely believed that the sinuses were not developed in infants and young children and that bacterial infections seldom occurred. Advances in imaging techniques, the development of quartz-rod optical telescopes for nasal endoscopy, and the pioneering work of Wald97, 99, 100 and others into the pathophysiology of pediatric sinus disease have changed the understanding and approach to this disorder. Sinusitis is common, complicating between 5% and 10% of upper respiratory infections.98 No age group is immune, and even infants may experience complications of sinusitis (Figure 1).
This article examines the anatomy and physiology of the paranasal sinuses of developing children, reviews current guidelines for the diagnosis of sinusitis, and addresses the available medical and surgical options for treating paranasal sinus disease.
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| Address reprint requests to Glenn Isaacson, MD, FAAP, FACS, Department of Pediatric Otolaryngology, St. Christopher's Hospital for Children, Erie Avenue at Front Street, Philadelphia, PA 19134–1095 |
Vol 43 - N° 6
P. 1297-1318 - décembre 1996 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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