[Pediatric] Atlas of Complications of sinusitis

Atlas of Complications of sinusitis, Pediatric, Complications of sinusitis, atlas in medical, tuyenlab.net

Coronal CT scan demonstrating bilateral ethmoid and left maxillary sinus opaci cation along pneumocephalus


Same patient, coronal T2 MRI demonstrating a hyperintense extra-axial collection (arrow) along the falx to the left of midline and uniform dural enhancement overlying both cerebral hemispheres
FIGURE 1. A. Coronal CT scan demonstrating bilateral ethmoid and left maxillary sinus opaci cation along pneumocephalus, in a 10-year-old with intracranial extension from frontal sinusitis leading to subdural empyema. B. Same patient, coronal T2 MRI demonstrating a hyperintense
extra-axial collection (arrow) along the falx to the left of midline and uniform dural enhancement overlying both cerebral hemispheres.

Eleven-year-old male with right ethmoid sinusitis, subperiosteal abscess who developed lower eyelid abscess

Same patient, coronal CT scan demonstrating lower eyelid abscess (arrow)
FIGURE 2. A. Eleven-year-old male with right ethmoid sinusitis,
subperiosteal abscess who developed lower eyelid abscess. B. Same
patient, coronal CT scan demonstrating lower eyelid abscess (arrow).

Preseptal cellulitis in the setting of acute ethmoid sinusitis. This resolved with antibiotic therapy alone
FIGURE 3. Preseptal cellulitis in the setting of acute ethmoid sinusitis.
This resolved with antibiotic therapy alone.

Ten-month-old with pansinusitis and left subperiosteal abscess


Same patient, axial CT scan (soft tissue windows) demonstrating subperiosteal abscess (arrow)

Same patient, intraoperative nasal endoscopy demonstrating middle turbinate edema.
FIGURE 4. A. Ten-month-old with pansinusitis and left subperiosteal abscess. Has periorbital edema, erythema with intact extraocular mobility. B. Same patient, axial CT scan (bone windows) demonstrating dehiscence in lamina papyracea (arrow). C. Same patient, axial CT scan (soft tissue windows) demonstrating subperiosteal abscess (arrow). D. Same patient, intraoperative nasal endoscopy demonstrating middle turbinate edema. (continued )

Same patient, intraoperative nasal endoscopy demonstrating purulent drainage in middle meatus after removal of uncinate process

Same patient, intraoperative nasal endoscopy demonstrating abscess cavity, dehiscent bone, and exposed periorbita
FIGURE 4. (Continued ) E. Same patient, intraoperative nasal endoscopy demonstrating purulent drainage in middle meatus after removal of uncinate process. F. Same patient, intraoperative nasal endoscopy demonstrating abscess cavity, dehiscent bone, and exposed periorbita.

Coronal CT scan demonstrating a right medial subperiosteal abscess with dehiscence of the lamina (arrow)
FIGURE 5. Coronal CT scan demonstrating a right medial subperiosteal abscess with dehiscence of the lamina (arrow).

Young boy with periorbital edema, erythema, chemosis, proptosis, and restricted extraocular mobility from superior orbital abscess.

Same patient, frontal view demonstrating hypoglobus

Same patient, frontal view demonstrating chemosis, purulent drainage, and gaze restriction
FIGURE 6. A. Young boy with periorbital edema, erythema, chemosis, proptosis, and restricted extraocular mobility from superior orbital abscess. B. Same patient, frontal view demonstrating hypoglobus. C. Same patient, frontal view demonstrating chemosis, purulent drainage, and gaze restriction

Axial CT scan demonstrating an air fluid level in the right frontal sinus with associated subgaleal abscess (arrow)

Axial CT scan 8 weeks after subgaleal abscess treatment
FIGURE 7. A. Axial CT scan demonstrating an air fluid level in the
right frontal sinus with associated subgaleal abscess (arrow). B. Axial
CT scan 8 weeks after subgaleal abscess treatment, now with erosion
of the frontal table and complete opaci cation of the sinus (arrow).

Mucopyocele of right ethmoid sinus, endoscopic view before rupture

Same patient, endoscopic view after rupture

Same patient, endoscopic view after rupture with empty cavity seen

Same patient, CT scan
FIGURE 8. A. Mucopyocele of right ethmoid sinus, endoscopic view before rupture. B. Same patient, endoscopic view after rupture. C. Same patient, endoscopic view after rupture with empty cavity seen. D. Same patient, CT scan. Note expansion and erosion of right ethmoid cells as well as
dehiscence of lamina papyreacea (medial orbital wall) (arrow).

Mild maxillary air fluid levels bilaterally (arrows) on axial CT scan in a 9-year-old boy with combined variable immunodeficiency

Same patient, T2-weighted MRI scan demonstrating extension of invasive fungal sinusitis along infraorbital nerve into soft tissues of cheek (arrow)
FIGURE 9. A. Mild maxillary air fluid levels bilaterally (arrows) on axial CT scan in a 9-year-old boy with combined variable immunodeficiency, and aplastic anemia, who presented with nasal congestion and malar pain and numbness on the right. Nasal endoscopy and biopsy demonstrated
invasive Aspergillus infection. B. Same patient, T2-weighted MRI scan demonstrating extension of invasive fungal sinusitis along infraorbital nerve into soft tissues of cheek (arrow). This patient and his family elected medical and palliative therapy instead of radical, disfiguring surgery and died
3 months later.

This is only a part of the book : Color Atlas of Pediatrics 1st Edition of authors: Richard P. Usatine, MD; Camille Sabella, MD; Mindy Ann Smith, MD; E.J. Mayeaux, Jr., MD; Heidi S. Chumley, MD and Elumalai Appachi, MD, MRCP (UK). If you want to view the full content of the book and support author. Please buy it here: https://goo.gl/BEp0yD

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[Pediatric] Atlas of Complications of sinusitis
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