Complications of Acute Bacterial Sinusitis in Children



Complications of acute bacterial sinusitis are rare, occurring in <1% of cases. These complications relate directly to the proximity of the paranasal sinuses to the orbit and the brain. Complications may be categorized as orbital, intracranial, and those involving the bone of the frontal sinus. Orbital manifestations may be divided into preseptal or post-septal infections. Outcomes depend on prompt recognition of orbital and intracranial involvement, early intervention with antimicrobials and, when needed, surgical drainage. This chapter reviews the epidemiology, pathophysiology, clinical presentation, microbiology, and therapy of complications of acute bacterial sinusitis in children.


Sinusitis Complications Children Orbital abscess Orbital cellulitis Periorbital cellulitis Subdural empyema Epidural empyema Brain abscess Cavernous sinus thrombosis 



This work was supported by a grant from the National Institutes of Health/National Institute of Allergy and Infectious Diseases (R01 AI097172).


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PediatricsUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA

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