Complicated sinusitis in children: 18 cases report

Table 1 Data of the clinical examination

	Findings	No. of cases	%
Nasal endoscopy	Congestion and pus at the middle meatus	5	27.78
	Purulent discharge at the nasopharynx	2	11.12
	Polypoïd lesion	1	5.56
Ophthalmic exam	Congestion of the upper eyelid	8	44.45
	Swelling and/or redness at the medial angle of the eye	6	33.34
	limitation in the medial ocular movement	5	27.78
Signs of meningeal irritation		2	11.12

Table 2 Findings of the imaging exams

		No. of cases	%
Sites of the lesions	Ethmoïd	14	77.78
	Ethmoïd + maxillary	6	33.34
	Sphenoid	2	11.12
Lytic bone lesions		2	11.12
Orbital complications	Cass II: orbital cellulitis	7	38.89
	Class III: periosteal abscess	4	22.23
	Class IV: orbital abscess	2	11.12
	Class V: cavernous sinus thrombosis	1	5.56
Meningeal reaction		2	11.12

Table 3 Therapeutic procedures

		No. of cases	%
Medical treatment	Cefotaxime (100 mg/kg/j) + fosfomycin (100 mg/kg/j)	14	77.78
	Cefotaxime + fosfomycin + amikacin (15 mg/kg/j)	2	11.12
	Cefotaxime (200 mg/kg/j) + vancomycine (60 mg/kg/j)	2	11.12
	Intravenous heparin (Bolus 50 units/kg, 2 units/kg per hour)	1	5.56
Surgery	External medial orbitotomy	4	22.23
	Endonasal orbitotomy	2	11.12
	Sphenoidotomy	2	11.12