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Pediatric Otolaryngologic Considerations

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Pediatric Oculoplastic Surgery

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Abstract

The proximity that the nasal cavity, nasopharynx, and paranasal sinuses share with the orbit results in many pathological processes overlapping to involve these regions simultaneously. The thin, partially perforated boundaries that separate these regions render the orbit violable to spread from infections and masses that emanate from the nose. Similarly, primary orbital processes can extend into the nose and present initially with nasal symptoms. This chapter addresses sinonasal pathology that may threaten the orbit and is thus germane to both otolaryngologists and ophthalmological specialists. Methods of diagnosis and intervention, including endoscopic and endonasal surgery, will be reviewed.

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References

  1. Wald ER. In: Bluestone CD, Stool SE, editors. Rhinitis and acute and chronic sinusitis. 2nd ed. Philadelphia: WB Saunders; 1990. p. 729–44.

    Google Scholar 

  2. Ritter FN. The paranasal sinuses: anatomy and surgical technique. St. Louis, MO: Mosby; 1973.

    Google Scholar 

  3. Wilson JL, Dreshler DG, Kaplan MJ, Pillsbury HC. Complications of cranial base surgery. In: Weissler MC, Pillsbury HC, editors. Complications of head and neck surgery. New York: Thieme Medical; 1995. p. 336–51.

    Google Scholar 

  4. Wald ER, Applegate KE, Bordley C, Darrow DH, Glode MP, Marcy SM, Nelson CE, Rosenfeld RM, Shaikh N, Smith MJ, Williams PV, Weinberg ST. Clinical practice guideline for the diagnosis and management of acute bacterial sinusitis in children aged 1 to 18 years. Pediatrics. 2013;132(1):e262–80.

    Article  PubMed  Google Scholar 

  5. Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 1970;80:1414–28.

    Article  CAS  PubMed  Google Scholar 

  6. Johnson DL, Markle BM, Weiderman BL, Hanahan L. Treatment of intracranial abscesses associated with sinusitis in children and adolescents. J Pediatr. 1988;113:15–23.

    Article  CAS  PubMed  Google Scholar 

  7. Erickson BP, Lee WW. Orbital cellulitis and subperiosteal abscess: a 5-year outcomes analysis. Orbit. 2015;34:115–20.

    Article  PubMed  Google Scholar 

  8. Hornblass A, Hershorn BJ, Stern K, Grimes C. Orbital abscess. Surv Ophthalmol. 1984;29:661–6.

    Article  Google Scholar 

  9. Patt BS, Manning SC. Blindness resulting from orbital complications of sinusitis. Otolaryngol Head Neck Surg. 1991;104:789.

    Article  CAS  PubMed  Google Scholar 

  10. Mafee MF. Modern imaging of paranasal sinuses and the role of limited sinus computerized tomography; considerations of time cost and radiation. ENT J. 1994;73:532–46.

    CAS  Google Scholar 

  11. Towbin R, Bokyung RH, Kaufmann RA, Burke M. Postseptal cellulitis: CT in diagnosis and management. Radiology. 1986;158:735–7.

    Article  CAS  PubMed  Google Scholar 

  12. Garcia GH, Harris GJ. Criteria for nonsurgical management of subperiosteal abscess of the orbit: analysis of outcomes 1988–1998. Ophthalmology. 2000;107:1454–6.

    Article  CAS  PubMed  Google Scholar 

  13. Bedwell JR, Choi SS. Medical versus surgical management of pediatric orbital subperiosteal abscesses. Laryngoscope. 2013;123:2337–8.

    PubMed  Google Scholar 

  14. Rubenstein JB, Handler SD. Orbital and periorbital cellulitis. Head Neck Surg. 1982;5:15–21.

    Article  Google Scholar 

  15. Brook I. Microbiology and choice of antimicrobial therapy for acute sinusitis complicated by subperiosteal abscess in children. Int J Pediatr Otorhinolaryngol. 2016;84:21–6.

    Article  PubMed  Google Scholar 

  16. Souliere CR, Antione GA, Martin MP, Blumberg AI, Isaacson G. Selective non-surgical management of subperiosteal abscess of indication for surgical drainage. Int J Pediatr Otolaryngol. 1990;19:109–19.

    Article  Google Scholar 

  17. Rahbar R, Robson CD, Petersen RA, DiCanzio J, Rosbe KW, McGill TJ, et al. Management of orbital subperiosteal abscess in children. Arch Otolaryngol Head Neck Surg. 2001;127:281–6.

    Article  CAS  PubMed  Google Scholar 

  18. Oxford LE, McClay J. Medical and surgical management of subperiosteal orbital abscess secondary to acute sinusitis in children. Int J Pediatr Otorhinolaryngol. 2006;70:1853–61.

    Article  PubMed  Google Scholar 

  19. Ryan JT, Preciado DA, Bauman N, Pena M, Bose S, Zalzal GH, et al. Management of pediatric orbital cellulitis in patients with radiographic findings of subperiosteal abscess. Otolaryngol Head Neck Surg. 2009;140:907–11.

    Article  PubMed  Google Scholar 

  20. Parikj SR, Cuellar J, Sadoughi B, Aroniadis O, Fried MP. Indications for image-guidance in pediatric sinonasal surgery. Int J Pediatr Otorhinolaryngol. 2009;73:351–6.

    Article  Google Scholar 

  21. Hoyt DJ, Fisher SR. Otolaryngologic management of patients with subdural empyema. Laryngoscope. 1991;101:20–4.

    Article  CAS  PubMed  Google Scholar 

  22. Gurucharri MJ, Lazar RH, Younis RT. Current management and treatment of complications of sinusitis in children. ENT J. 1993;70:107–12.

    Google Scholar 

  23. Lusk RP, Tychen L, Park TS. Complications of sinusitis. In: Lusk RP, editor. Pediatric sinusitis. New York: Raven; 1992. p. 127–46.

    Google Scholar 

  24. Lusk RP. Surgical management of chronic sinusitis. In: Lusk RP, editor. Pediatric sinusitis. New York: Raven; 1992. p. 77–125.

    Google Scholar 

  25. Turner WJ, Davidson TM. Endoscopic management of acute frontal sinusitis. ENT J. 1994;73:594–7.

    CAS  Google Scholar 

  26. Washburn RG, Kennedy DW, Begley MG, Henderson DK, Bennet JE. Chronic fungal sinusitis in apparently normal hosts. Medicine. 1988;67:231–47.

    Article  CAS  PubMed  Google Scholar 

  27. Goodwin WJ. Infectious and inflammatory diseases of the orbit. Otolaryngol Clin N Am. 1998;21:65–75.

    Google Scholar 

  28. Hartwick RW, Batsakis JG. Pathology consultation: sinus aspergillosis and allergic fungal sinusitis. Ann Otol Rhinol Laryngol. 1991;100:427–30.

    Article  CAS  PubMed  Google Scholar 

  29. Stanievich JF, Lore JM. Tumors of the nose, paranasal sinuses, and nasopharynx. In: Bluestone CD, Stool S, Scheetz MD, editors. Pediatric otolaryngology. 2nd ed. Philadelphia: WB Saunders; 1990.

    Google Scholar 

  30. Calcaterra TC, Trapp LK. Unilateral proptosis. Otolaryngol Clin N Am. 1988;21:53–63.

    CAS  Google Scholar 

  31. Petruson B. Epistaxsis in childhood. Rhinology. 1979;17:83–90.

    CAS  PubMed  Google Scholar 

  32. Mosesson RE, Som PM. The radiographic evaluation of sinonasal tumors: an overview. Otolaryngol Clin N Am. 1995;28:1097–115.

    CAS  Google Scholar 

  33. Cunningham MJ, Myers EN, Bluestone CD. Malignant tumors of the head and neck: a twenty year review. Int J Pediatr Otorhinolaryngol. 1987;13:270–92.

    Article  Google Scholar 

  34. Canalis RF, Jenkins HA, Hemenway WG. Nasopharyngeal rhabdomyosarcoma: a clinical perspective. Arch Otolaryngol. 1982;104:424–40.

    Google Scholar 

  35. Tom LWC, Anderson GJ, Womer RB, et al. Nasopharyngeal malignancies in children. Laryngoscope. 1992;102:509–14.

    Article  CAS  PubMed  Google Scholar 

  36. Hsu WM, Wang AG. Nasopharyngeal carcinoma with orbital invasion. Eye. 2004;18:833–8.

    Article  PubMed  Google Scholar 

  37. Stefanyszyn MA, Handler SD, Wright JE. Pediatric orbital tumors. N Am Clin Otolaryngol. 1988;21:103–18.

    CAS  Google Scholar 

  38. Jackson IT, Somers P, Marsh WR. Esthesioneuroblastoma: treatment of skull base recurrence. Plast Reconstr Surg. 1995;76:195–200.

    Article  Google Scholar 

  39. Robitaille Y, Seemayer TA, El Deiry A. Peripheral nerve tumors involving paransal sinuses: a case report and review of the literature. Cancer. 1975;35:1257–68.

    Article  Google Scholar 

  40. Bordley JE, Bosly WR. Mucoceles of the frontal sinus: causes and treatment. Ann Otol. 1973;82:696–702.

    CAS  Google Scholar 

  41. Cruz AA, Atique JM, Melo-Filho FV, Elias J. Orbital involvement in juvenile nasopharyngeal angiofibroma: prevalence and treatment. Ophthal Plast Reconstr Surg. 2004;20:296–300.

    Article  PubMed  Google Scholar 

  42. Neel HB. Juvenile angiofibroma. In: Blitzer A, Lawson W, Freidman WH, editors. Surgery of the paranasal sinuses. Philadelphia: WB Saunders; 1985. p. 247–59.

    Google Scholar 

  43. Moore AT, Bunic JR, Munro IR. Fibrous dysplasia of the orbit in childhood. Ophthalmology. 1985;92:12–20.

    Article  CAS  PubMed  Google Scholar 

  44. Margo CE, Ragsdale BD, Perman KI, et al. Psammatoid ossifying fibroma of the orbit. Ophthalmology. 1985;92:150–9.

    Article  CAS  PubMed  Google Scholar 

  45. Batsakis JG. Nasal papillomas. Ann Otol Rhinol Laryngol. 1980;90:190.

    Article  Google Scholar 

  46. Kimmelman CP, Korovin GW. Management of paranasal sinus neoplasms invading the orbit: orbital surgery for head and neck surgeons. N Am Clin North America. 1988;21:77–92.

    CAS  Google Scholar 

  47. Wharam M, Foulkes M, Lawrence W, et al. Soft tissue sarcoma of the head and neck in childhood: nonorbital and nonparameningeal sites. Cancer. 1984;53:1016.

    Article  PubMed  Google Scholar 

  48. Sutlow W, Montague E. Pediatric tumors. In: MacComb W, Fletcher G, editors. Cancer of the head and neck. Baltimore: Williams & Wilkins; 1967. p. 428–46.

    Google Scholar 

  49. Rastatter JC, Snyderman CH, Gardner PA, Alden TD, Tyler-Kabara E. Endoscopic surgery for sinonasal skull base lesions in the pediatric population. Otolaryngol Clin N Am. 2015;48:77–99.

    Article  Google Scholar 

  50. Tepedino MS, Pinhiero-Neto CD, Bezerra TF, Gardner PA, Snyderman CH, Voegels RL. Endonasal identification of the orbital apex. Larynogscope. 2016;126:33–8.

    Article  Google Scholar 

  51. Weisman R. Lateral rhinotomy and medial maxillectomy. Otolaryngol Clin N Am. 1995;28:1145–56.

    CAS  Google Scholar 

  52. Maniglia AJ, Phillips DA. Midfacial degloving for the management of nasal, sinus, and skull base neoplasms. Otolaryngol Clin N Am. 1995;28:1127–43.

    CAS  Google Scholar 

  53. Seredyka-Burduk M, Burduck PK, Wierzchowska M, Kaluzny B, Malukiewicz G. Ophthalmic complications of endoscopic sinus surgery. Braz J Otorhinolaryngol. 2016;S1808-8694(16):30084–2. https://doi.org/10.1016/j.bjorl.2016.04.00 (epub).

    Google Scholar 

  54. Ohnishi T, Tachibana T, Kaneko Y, Esaki S. High risk areas in endoscopic sinus surgery and prevention of complications. Laryngoscope. 1993;103:1181–5.

    Article  CAS  PubMed  Google Scholar 

  55. Buus DR, Tse DT, Farris BK. Ophthalmic complications of sinus surgery. Ophthalmology. 1990;97:612–9.

    Article  CAS  PubMed  Google Scholar 

  56. Batti MT, Stankiewicz JA. Ophthalmic complications of endoscopic sinus surgery. Br J Ophthalmol. 2001;85:598–603.

    Article  Google Scholar 

  57. Stankiewicz JA, Chow JM. Two faces of orbital hematoma inintranasal (endoscopic) sinus surgery. Otolaryngol Head NeckSurg. 1999;120:841–7.

    Article  CAS  Google Scholar 

  58. Neuman TR, Turner WJ, Davidson TM. Complications of endoscopic surgery. ENT J. 1994;73:585–90.

    CAS  Google Scholar 

  59. Bolger WE, Parsons DS, Mair TEA, et al. Lacrimal drainage system injury in functional endoscopic sinus surgery. Incidence, analysis, and prevention. Arch Otolaryngol. 1992;118:1179–84.

    Article  CAS  Google Scholar 

  60. Thomas SW, Baird IM, Frazier RW. Toxic shock syndrome following submucous resection and rhinoplasty. JAMA. 1982;247:2402–3.

    Article  CAS  PubMed  Google Scholar 

  61. Cusick B, Casler JD, David C. Traumatic aneurysm of the cavernous carotid artery: management of delayed massive epistaxis. Am J Rhinol. 1992;6:165–8.

    Article  Google Scholar 

  62. Mauer JJ, Mills M, Berman WJ. Triad of unilateral blindness orbital fracture and massive epistaxis after head injury. J Neurosurg. 1961;18:837–40.

    Article  Google Scholar 

  63. Stammberger H. Functional endoscopic sinus surgery: the Messerklinger technique. Philadelphia: Decker; 1991.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Otolaryngology, Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Adva Buzi & Mark Rizzi

  2. Department of Otolaryngology, University of Pennsylvania, Philadelphia, PA, USA

    Adva Buzi & Mark Rizzi

  3. Clinical Otolaryngology – Head and Neck Surgery, Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Mark Rizzi

Authors
  1. Adva Buzi
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  2. Mark Rizzi
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Correspondence to Mark Rizzi .

Editor information

Editors and Affiliations

  1. Professor Emeritus of Ophthalmology and Director of Oculoplastic and Orbital Surgery, The Children’s Hospital of Philadelphia and The Edwin and Fannie Gray Hall Center for Human Appearance, Perelman School of Medicine at the University of Pennsylvania , Philadelphia, Pennsylvania, USA

    James A. Katowitz

  2. Associate Professor of Clinical Ophthalmology and Director of the Oculoplastic and Orbital Surgery Fellowship Program, The Children’s Hospital of Philadelphia and The Edwin and Fannie Gray Hall Center for Human Appearance, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA

    William R. Katowitz

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Buzi, A., Rizzi, M. (2018). Pediatric Otolaryngologic Considerations. In: Katowitz, J., Katowitz, W. (eds) Pediatric Oculoplastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-60814-3_9

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  • DOI: https://doi.org/10.1007/978-3-319-60814-3_9

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-60814-3

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