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BackTable / ENT / Podcast / Episode #113

Intracranial Complications of Acute Sinusitis in Children

with Dr. Amanda Stapleton

This week on the BackTable ENT podcast, Dr. Gopi Shah and Dr. Amanda Stapleton, a pediatric otolaryngologist from UPMC Children's Hospital of Pittsburgh, chat about the unique challenges of treating pediatric sinus and skull base diseases, orbital complications, and biofilm-covered Moraxella. They discuss source control, biofilm, and her research focused on the bacteriology of pediatric chronic sinusitis and patients with cystic fibrosis.

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Intracranial Complications of Acute Sinusitis in Children with Dr. Amanda Stapleton on the BackTable ENT Podcast)
Ep 113 Intracranial Complications of Acute Sinusitis in Children with Dr. Amanda Stapleton
00:00 / 01:04

BackTable, LLC (Producer). (2023, May 30). Ep. 113 – Intracranial Complications of Acute Sinusitis in Children [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Amanda Stapleton discusses Intracranial Complications of Acute Sinusitis in Children on the BackTable 113 Podcast

Dr. Amanda Stapleton

Dr. Amanda Stapleton is a pediatric otolaryngologist, associate professor, and director of the pediatric otolaryngology fellowship program with the University of Pittsburgh in Pennsylvania.

Dr. Gopi Shah discusses Intracranial Complications of Acute Sinusitis in Children on the BackTable 113 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.

Synopsis

First, they discuss how to recognize the signs and symptoms of pediatric patients who present with orbital or intracranial abscesses and how age and location of the abscess can influence treatment decisions. They also explain how to distinguish between intracranial and orbital abscesses and how to recognize the symptoms of sphenoid sinusitis. Both doctors emphasize the importance of involving infectious disease colleagues to evaluate antibiotic coverage and surgical indications.

Next, the doctors discuss the techniques for sinus surgery, including the use of a scope for visualization, warm irrigations, navigation, and augmented reality systems in the acute setting. Dr. Stapleton also provides tips on when to remove a middle turbinate and the importance of source control, especially in patients under the age of seven. An adenoidectomy may be necessary if the patient has had multiple colds throughout the winter and the decision is made to take down the lamina to drain an abscess pocket.

Finally, the doctors discuss the follow up process for children with chronic sinusitis, which may include office endoscopy and allergy testing, and discuss the rare cases of intracranial abscesses. In addition to being vigilant and proactive in monitoring the potential for repeat infections, imaging to detect any scarring or residual mucosal inflammation that might have resulted from the initial infection is also helpful.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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