RT Book, Section
A1 Jerardi, Karen E.
A1 Shah, Samir S.
A2 Zaoutis, Lisa B.
A2 Chiang, Vincent W.
SR Print(0)
ID 1146118542
T1 Complications of Acute Otitis Media and Sinusitis
T2 Comprehensive Pediatric Hospital Medicine, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071829281
LK accesspediatrics.mhmedical.com/content.aspx?aid=1146118542
RD 2024/04/18
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.