Orbital complications of acute bacterial rhinosinusitis in the pediatric population: A systematic review and meta-analysis

Assess characteristics and outcomes of orbital complications of acute bacterial rhinosinusitis (ABRS) in the pediatric population and evaluate trends over time. A literature search of pediatric orbital complications was performed in the following databases: Ovid MEDLINE, Scopus, and Cochrane Databas...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2020-08, Vol.135, p.110078-110078, Article 110078
Main Authors: Zhao, Elise E., Koochakzadeh, Sina, Nguyen, Shaun A., Yoo, Frederick, Pecha, Phayvanh, Schlosser, Rodney J.
Format: Article
Language:English
Subjects:
Acute Disease
Adolescent
Bacterial Infections - complications
Child
Child, Preschool
Children
Complications
Female
Humans
Infant
Infant, Newborn
Male
Orbital
Orbital Diseases - diagnosis
Orbital Diseases - etiology
Orbital Diseases - therapy
Pediatric
Rhinitis - complications
Rhinosinusitis
Sinusitis - complications
Subperiosteal abscess
Treatment Outcome
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Summary:Assess characteristics and outcomes of orbital complications of acute bacterial rhinosinusitis (ABRS) in the pediatric population and evaluate trends over time. A literature search of pediatric orbital complications was performed in the following databases: Ovid MEDLINE, Scopus, and Cochrane Database of Systematic Reviews. Studies reporting data for at least 10 subjects with orbital complications of sinusitis under 18 years old were included. Studies were grouped by publication year; before 2010 and after and including 2010. Studies that only included patients with subperiosteal abscess (SPA) were grouped in a separate category. Data collected include demographics, Chandler class complications, intra-operative culture, treatment, and outcomes. Meta-analysis of proportion was performed to compare data from studies published before 2010 and data published in 2010 and after. Thirty-five studies met inclusion criteria. No significant difference was observed over time in gender of subjects in the all Chandler complications or SPA only groups (P > 0.72). The proportion of subjects presenting with Chandler IV complications decreased from 6.8% to 2.9% in recent studies (P = 0.019). The proportion of subjects treated surgically decreased from 45.2% to 21.7% in the all Chandler complications group (P 
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2020.110078