Aggiornamento
La sinusite nel bambino: come riconoscerla e quando preoccuparsi
Paediatric sinusitis: how to recognise it and when to be concerned. clinical presentation, management and warning signs
Caiffa G, Grasso DL, Orzan E, Barbi E, Giuntoli DG.
Settembre 2026 - pagg. 433 -439 | DOI: 10.53126/MEB45433
Abstract
Sinusitis is an inflammatory condition that impairs mucociliary function in the nose and paranasal sinuses. In the paediatric population, it typically presents with nasal obstruction or congestion, rhinorrhoea, facial pain or pressure and cough. The diagnosis is primarily clinical, and radiological investigations should be reserved for complicated cases. Treatment is generally indicated only for moderate to severe forms and usually consists of topical corticosteroids and/or antibiotics. Complications occur in approximately 1 out of 12,000 cases of acute rhinosinusitis. Orbital complications are the most common, followed by intracranial involvement, whereas nasal complications are extremely rare.
Riassunto
La sinusite è una condizione infiammatoria acuta o cronica che inibisce la funzionalità muco-ciliare del naso e dei seni paranasali e che in età pediatrica si manifesta primariamente con chiusura/ostruzione/congestione nasale, rinorrea, dolore/pressione facciale e tosse. La diagnosi è clinica e le indagini radiologiche andrebbero riservate alle forme complicate. Il trattamento è fondamentalmente limitato alle forme moderate o gravi, per le quali è indicata l’associazione con corticosteroidi topici e/o antibiotici. In 1 caso su 12.000 la rinosinusite acuta si complica. Le complicanze più frequenti risultano essere quelle orbitarie, seguite da quelle intracraniche e, molto più raramente, da quelle nasali.
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Corrispondenza: giada.caiffa@gmail.com