TY - CHAP M1 - Book, Section TI - Complications of Acute Otitis Media and Sinusitis A1 - Jerardi, Karen E. A1 - Shah, Samir S. A2 - Zaoutis, Lisa B. A2 - Chiang, Vincent W. PY - 2017 T2 - Comprehensive Pediatric Hospital Medicine, 2e AB - Uncomplicated acute otitis media (AOM) and sinusitis are generally managed in the outpatient setting with excellent outcomes. Occasionally, complications from these infections arise, and a subset of these complications requires immediate intervention and hospitalization (Table 99-1). Children with AOM and sinusitis are predisposed to infectious and inflammatory complications because of their close proximity to orbital and parameningeal structures. The separation between these structures and the middle ear or sinuses may be breached by two main mechanisms: (1) direct extension via communication between the middle ear and the mastoid airspace and thin bony walls separating the sinuses from intraorbital area, and (2) hematogenous spread via penetrating veins from infected sinuses or mastoid spaces to the intracranial region. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/05 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1146118542 ER -