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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