Management of complicated pediatric rhinosinusitis in the COVID-19 era

Am J Otolaryngol. 2020 Nov-Dec;41(6):102746. doi: 10.1016/j.amjoto.2020.102746. Epub 2020 Sep 23.

Abstract

With the ongoing development of the COVID-19 pandemic, research continues to emerge regarding the pathophysiology, characteristics, and treatment considerations for patients with COVID-19. No reports have highlighted the specific challenges posed in the management of pediatric patients with COVID-19 who present with complicated rhinosinusitis. In this report, we discuss our preoperative, intraoperative, and postoperative multidisciplinary treatment strategy for these cases and provide two examples of complicated rhinosinusitis cases in COVID-19 patients, treated with two different approaches. Pearls, insights, and a brief review of the literature are discussed.

Keywords: COVID-19; Complicated sinusitis; Coronavirus; Pediatric COVID-19; Pediatric rhinosinusitis; Sars-CoV-2.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Betacoronavirus
  • COVID-19
  • COVID-19 Testing
  • Child
  • Clinical Laboratory Techniques
  • Combined Modality Therapy
  • Coronavirus Infections / complications*
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / diagnostic imaging
  • Coronavirus Infections / therapy
  • Humans
  • Male
  • Pandemics
  • Pneumonia, Viral / complications*
  • Pneumonia, Viral / diagnostic imaging
  • Pneumonia, Viral / therapy
  • Rhinitis / diagnostic imaging
  • Rhinitis / therapy
  • Rhinitis / virology*
  • SARS-CoV-2
  • Sinusitis / diagnostic imaging
  • Sinusitis / therapy
  • Sinusitis / virology*