Your child’s paranasal breasts are not fully developed until late adolescence. Although small, the maxillary (behind the cheek) and ethmoidal (between the eyes) breasts are present at birth. Unlike adults, pediatric sinusitis is difficult to diagnose because the symptoms of sinusitis can be caused by other problems, such as viral diseases and allergies.
Sinusitis in children Symptoms
The following symptoms may indicate a sinus infection in your child:
- Cold with a duration of more than 10 to 14 days, sometimes with a low fever.
- Yellow-green thick nasal drainage.
- Postnasal drip, which sometimes leads to display as a sore throat, cough, bad breath, nausea and / or vomiting.
- Headache, usually in children six years or older.
- Irritability or fatigue.
- Swelling around the eyes
Young children are more prone to infections of the nose, sinuses and ears, especially in the first years of life. These are most often caused by viral infections (colds) and can be aggravated by allergies. However, if your child remains ill beyond the usual ten-day week, the cause could be a sinus infection.
You can reduce the risk of sinus infections for your child by reducing exposure to known environmental allergies and pollutants such as tobacco smoke, reducing your time in daycare centers and treating stomach acid reflux disease.
Sinusitis in children Treatment
Acute sinusitis: most children respond very well to antibiotic therapy. Decongestant nasal sprays or saline nasal sprays may also be prescribed to relieve short-term congestion. Nasal drops of saline (salt water) or mild dew can be useful to dilute secretions and improve mucous membrane function. Over-the-counter decongestants and antihistamines are generally not effective for viral infections of the upper respiratory tract in children, and the role of such medications for the treatment of sinusitis is not well defined. Such medications should not be given to children under two years old.
If your child has acute sinusitis, the symptoms should improve within the first days of treatment. Even if your child improves dramatically during the first week of treatment, it is important that you complete antibiotic therapy. Your doctor may decide to treat your child with additional medications if he / she has allergies or other conditions that worsen the sinus infection.
Chronic sinusitis: If your child suffers from one or more symptoms of sinusitis for at least 12 weeks, you may have chronic sinusitis. Chronic sinusitis or recurrent episodes of acute sinusitis totaling more than four to six per year, are indications that you should consult an otolaryngologist (an ear, nose and throat specialist ear, nose and throat specialist). The ENT specialist may recommend a medical or surgical treatment of the paranasal sinuses.
If your child sees an otolaryngologist, the doctor will examine your ears, nose and throat. A thorough history and examination usually lead to the correct diagnosis. Occasionally, special instruments will be used to examine the nose during the office visit. An x-ray called computed tomography (CT) can help determine how completely your child’s sinuses develop, where a blockage has occurred and confirm the diagnosis of sinusitis.
The doctor may look for factors that make your child more likely to get a sinus infection, including structural changes, allergies and problems with the immune system.
Sinusitis Operation in Children
Surgery is considered for the small percentage of children with symptoms of severe or persistent sinusitis despite medical treatment. Using an instrument called an endoscope, the ENT surgeon opens the natural drainage pathways of your child’s sinuses and makes narrower passages wider. This also allows the culture so that antibiotics can specifically target sinus infection of your child. The opening of the sinuses and the circulation of the air usually results in a reduction in the number and severity of sinus infections.
In addition, your doctor may advise you to remove the adenoid tissue from the back of the nose as part of the treatment for sinusitis. Although adenoid tissue does not directly block the paranasal sinuses, infection of the adenoid tissue, called adenoiditis (obstruction of the back of the nose), can cause many symptoms similar to sinusitis, namely nasal discharge, nasal congestion, post nasal . drip, bad breath, cough and headache.
Sinusitis in children is different from sinusitis in adults. Children most often show cough, bad breath, irritability, low energy and swelling around the eyes, along with a thick greenish-yellow nasal drip or a runny nose following the nose. Once the diagnosis of sinusitis has been made, in most cases, children receive successful antibiotic treatment. In the rare child where medical therapy fails, surgical therapy can be used as a safe and effective method to treat sinus disease in children.