Acute Rhinosinusitis in Children

Authors: Cheryl C Nocon Fuad M Baroody

Publish Date: 2014/04/04

Volume: 14, Issue: 6, Pages: 443-

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Abstract

Acute rhinosinusitis in children is a common disorder that is characterized by some or all of the following symptoms fever rhinorrhea nasal congestion cough postnasal drainage and facial pain/headache It often starts as an upper respiratory tract infection that is complicated by a bacterial infection in which the symptoms worsen persist or are particularly severe The accurate diagnosis of acute rhinosinusitis is challenging because of the overlap of symptoms with other common diseases heavy reliance on subjective reporting of symptoms by the parents and difficulties related to the physical examination of the child Antibiotics are the mainstay of treatment There is no strong evidence for the use of ancillary therapy Orbital and intracranial complications may occur and are best treated early and aggressively This article reviews the diagnosis pathophysiology bacteriology treatment and complications of acute rhinosinusitis in children

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