Clinical features, treatment and outcomes of acute ethmoiditis: A case series of 20 hospitalized children

Sarah Salameh; Noémie Lachaume; Alexandra Bisca; Manon Beauvais; Adrien Chaud; Marie Cotillon; Laure Cohen; Romain Basmaci

doi:10.1016/j.arcped.2025.04.002

Clinical features, treatment and outcomes of acute ethmoiditis: A case series of 20 hospitalized children

Arch Pediatr. 2025 Jul;32(5):351-354. doi: 10.1016/j.arcped.2025.04.002. Epub 2025 Jun 9.

Authors

Sarah Salameh¹, Noémie Lachaume¹, Alexandra Bisca², Manon Beauvais¹, Adrien Chaud³, Marie Cotillon¹, Laure Cohen¹, Romain Basmaci⁴

Affiliations

¹ Service de pédiatrie-urgences, AP-HP, Hôpital Louis-Mourier, F-92700 Colombes, France.
² Service de Radiologie, AP-HP, Hôpital Louis-Mourier, F-92700 Colombes, France.
³ Service de chirurgie ORL, AP-HP, Hôpital Louis-Mourier, F-92700 Colombes, France.
⁴ Service de pédiatrie-urgences, AP-HP, Hôpital Louis-Mourier, F-92700 Colombes, France; Université Paris Cité, Inserm, IAME, F-75018 Paris, France. Electronic address: romain.basmaci@aphp.fr.

PMID: 40494746
DOI: 10.1016/j.arcped.2025.04.002

Abstract

We described 20 children hospitalized with acute ethmoiditis between 2017 and 2022 in our center. Median age was 3.5 years, fifteen were Chandler's group II and three were group III. Despite adequate antibiotic therapy regarding national antibiotic treatment guidelines, six (30 %) patients experienced poor outcomes; five of them required surgical drainage, reinforcing the need of close surveillance of these children.

Keywords: Antibiotic; Children; Ethmoidal sinus; Orbital infection; Rhinosinusitis.

MeSH terms

Acute Disease
Adolescent
Anti-Bacterial Agents* / therapeutic use
Child
Child, Preschool
Drainage
Ethmoid Sinusitis* / diagnosis
Ethmoid Sinusitis* / drug therapy
Ethmoid Sinusitis* / therapy
Female
Hospitalization
Humans
Infant
Male
Retrospective Studies
Treatment Outcome

Substances

Anti-Bacterial Agents