Clinical Practice

Intensive care medicine

Conservative management

Surgery

Sinusitis

Environmental health

Pediatrics

Physical therapy

Population

Medicine

General surgery

Disease

Pathology

Journal of Neurological Surgery Part B Skull Base

Background: Orbital complications of bacterial sinusitis are rare but potentially devastating. Early recognition and appropriate management are imperative, especially because a delay in diagnosis can cause rapid clinical deterioration. Recognizing the risk factors contributing to the disease and identifying disease trends can help identify at-risk children and hopefully result in earlier diagnosis, improved management, and potential reduction in morbidity. Subperiosteal abscesses (SPA) are classified as Group III according to the Chandler system for orbital complications. There is a lack of consensus management guidelines, and a review of the literature reveals several distinct protocols currently in practice at other institutions.

Clinical Determinants for the Surgical versus Conservative Medical Management of Subperiosteal Abscesses in the Pediatric Population: Our Experience Compared to the Literature