The Endoscopic Management of Different Pediatric Frontal Sinus Pathologies.

International Journal of Otolaryngology Pub Date : 2022-02-10 eCollection Date: 2022-01-01 DOI:10.1155/2022/1078178
Ali Almomen, Zainab Alshuhayb, Hussain Alsheef, Salma Alhammad, Balsam Alawami, Amirah Aldhurais, Hussain Almulla, Zahra Almoumen, Sarah Alkishi
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Abstract

Background: The paranasal sinuses in pediatrics can harbor a wide variety of pathologies. With the present literature being composed of case studies only, this entity is quite understudied.

Objectives: This article aims to study the clinical presentation, diagnosis, and endoscopic management of six different rare frontal sinus pathologies in pediatrics, which include extensive allergic fungal sinusitis, mucoceles, osteoma, superior sagittal sinus thrombosis, CSF leak, and subdural empyema.

Methods: We retrospectively studied all pediatric patients with frontal sinus pathologies presenting to our center, King Fahad Specialist Hospital, Dammam, Saudi Arabia, from the period of 2006 to 2020.

Results: A total of 8 patients presented to our hospital with different frontal sinus pathologies. 5 of them were males, and 3 were females with an age of presentation ranging from 7 to 17 years. The diagnosis and localization were performed through computerized tomography without contrast and magnetic resonance imaging, when indicated. All cases were primarily managed with endonasal endoscopic approaches successfully without complications and with no recurrence evident upon follow-up.

Conclusion: In this case series, six different frontal sinus pathologies were managed by an endoscopic approach, with excellent recovery and no recurrence upon follow-up demonstrated. This approach enabled excellent visualization of the pathologies, accurate localization, adequate drainage, and repair or grafting when needed.

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不同小儿额窦病变的内窥镜治疗。
背景:儿科副鼻窦可藏匿多种病变。由于目前的文献仅由病例研究组成,因此对这一实体的研究相当不足:本文旨在研究儿科六种罕见额窦病变的临床表现、诊断和内窥镜治疗,包括广泛过敏性真菌性鼻窦炎、粘液瘤、骨瘤、上矢状窦血栓形成、脑脊液漏和硬脑膜下水肿:我们对2006年至2020年期间在沙特阿拉伯达曼市法哈德国王专科医院就诊的所有额窦病变儿科患者进行了回顾性研究:结果:共有 8 名患者因不同的额窦病变到我院就诊。其中 5 人为男性,3 人为女性,发病年龄从 7 岁到 17 岁不等。诊断和定位均通过无对比剂计算机断层扫描和磁共振成像(如有必要)进行。所有病例主要采用鼻内镜方法成功治疗,无并发症,随访无明显复发:在这一病例系列中,六例不同的额窦病变均采用内窥镜方法进行了治疗,并取得了良好的恢复效果,且在随访中未发现复发情况。这种方法能很好地观察病变,准确定位,充分引流,并在需要时进行修复或移植。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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22 weeks
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