Case Series
Frontal Balloon Sinuplasty in Complicated Acute Pediatric Rhinosinusitis (ARS)
Table 1
Demographic, clinical, and management characteristics of complicated pediatric ARS patients (n = 6).
| | | Median n(%) |
| | Age | | Median (range) | 9 (7–14) | | | | Gender | | Male | 3 (50) | | Female | 3 (50) | | Medical history | | Allergic rhinitis | 3 (50) | | Recent frontal bone fracture | 1 (17) | | Initial imaging | | CT + MRI | 6 (100) | | Sinuses | | Frontal | 6 (100) | | Maxillary | 6 (100) | | Ethmoids | 6 (100) | | Sphenoid | 1 (17) | | Laterality | | Unilateral | 1 (17) | | Bilateral | 5 (83) | | Sinusitis complications | | Intracranial complications | 6 (100) | | Subdural empyema | 3 (50) | | Epidural abscess | 3 (50) | | Extracranial complications | 3 (50) | | Frontal cerebritis | 1 (17) | | Frontal soft tissue abscess | 1 (17) | | Frontal osteomyelitis | 1 (17) | | Neurologic presentation | | Intact | 3 (50) | | Concern for seizure | 2 (33) | | AMS (GCS 12) | 1 (17) | | Visits to operating room | | Number of ENT operations | | 1 | 6 (100) | | Number of neurosurgical operations | | 0 | 2 (33) | | 1 | 3 (50) | | 2 | 1 (17) | | Frontal sinus balloon dilation laterality | | Unilateral | 5 (83) | | Bilateral | 1 (17) | | Additional FESS performed | | Maxillary antrostomy | 6 (100) | | Anterior ethmoidectomy | 5 (83) | | Neurosurgical procedures | | | Craniotomy and washout | 3 (50) | | Burr holes and washout | 1 (17) | | ICU admission | | Yes | 4 (67) | | No | 2 (33) | | Hospital readmission | | Yes | 3 (50) | | No | 3 (50) | | | Median (range) | | Hospital duration | 13.5 (4–43) | | Follow-up time (days) | 91 (38–406) |
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