2017 Sec 1 Green Book

Reprinted by permission of Int J Pediatr Otorhinolaryngol. 2015; 79(5):690-693.

International

Journal

of Pediatric Otorhinolaryngology 79

(2015)

690–693

Contents

lists

available

at ScienceDirect

International

Journal

of Pediatric Otorhinolaryngology

jour nal

homepage:

www.elsevier .com/locat e/ijpo r l

Quantitative

evaluation

of

facial

growth

in

children

after

unilateral

drainage §

ESS

for

subperiosteal

orbital

abscess

Sagi a ,

Eviatar a ,

Paul Gottlieb b , Haim Gavriel a , *

Lihi

Ephraim

a Department b Department

Israel 1

of Otolaryngology Head

and Neck

Surgery,

Assaf Harofeh Medical

Center,

Zerifin Israel 1

70300,

of Diagnostic

Imaging,

Assaf Harofeh Medical

Center,

Zerifin

7030070300,

A

R

T

I

C

L

E

I

N

F

O

A

B

S

T

R

A

C

T

Article

history:

To determine

the effects of unilateral endoscopic

sinus

surgery

(ESS) on

facial

skeletal growth

Objective:

Received Received Accepted Available

7

January revised

2015

children.

in

in

form

16

February

2015

Retrospective

controlled

study.

Design: Setting:

17

February

2015

Academic

tertiary

referral medical

center.

online

24

February

2015

Included were

children who

underwent

a

unilateral

ESS

procedure later went

between through

and methods:

Materials

and 2006

to

evacuate

a subperiosteal orbital

abscess

(SPOA) and

several years

1995

Keywords: Endoscopic

their

facial development between

the surgical and nonsurgical

cephalometric measurements comparing

sinus

surgery

sides. Results: time of

orbital

abscess

Subperiosteal

A total of 6 children were

recruited

for

this study

(3 girls and 3 boys), between

the ages 3

to 10 at

face

Mid

surgery, and

from 9.5

to 23 years of age

today. Four of difference was

the

children had

surgery on

the

right

side

Change Children

2

on

the

left.

No

statistically

significant

found when

evaluating

all

planes

in

the

and

radiographs

according

to

age

at

surgery,

age

today

and

years

from

surgery.

cephalometric

In our

study, no

significant differences were

found

in craniofacial growth between

the the

sides face,

Conclusion:

the

face

in

children who

underwent

ESS

for

the

same medical

indication

on

one

side

of

of

that

ESS might

be

safely

performed

even

in

young

children.

suggesting

–2c

of

evidence:

Level

2015

Elsevier

Ireland

Ltd.

All

rights

reserved.

1. Introduction

including patient age, procedure performed and

the various pathologies

treated, imaging

the

surgical

the need

for

further

for accurate

reports

and

animal

studies

have

raised

concerns

of

the

facial

skeleton

post-surgery.

For

example, Kosko

evaluation

Insufficient

debate

regarding

the

impact

of

surgical

intervention

of

the [1–

al.

reported

maxillary

sinus

hypoplasia

on

CT

scan

after facial

and

et

facial development

in

the pediatric population

sinus

surgery

(ESS), but with no apparent

clinical

nasal sinuses on

endoscopic asymmetry

Most

of

these

studies

were

conducted

on

piglets,

showing

[11] .

In

addition

to

this,

very

aggressive

surgical interrup- In another

8] .

facial growth on

the side of

the endoscopic surgery.

lesions was not associated with

interruption of

management of mid-face

the

animals

did

not

show

any

clinical

evidence

of

facial growth as was suggested by Lund et al.

[12] .

However, abnormal

tion of study

growth human

[9,10] . beings

The

effects

of

sinus

surgery

on

facial

conducted

by

Wolf

et

al.,

no

evidence

of

facial

growth

in

has

been

even

less

frequently

reported evaluated

latter studies did not

growth

interruptionwas reported; however, these two

to

the

significant

quantity

of

parameters

to

be

accurate measurements

of

the

facial

skeleton.

due

perform

purpose

of

this

study

is

to

evaluate

the

effect

of

extensive

The

removal

of

the

ethmoid

cells

and

the

lamina papyracea

unilateral

in a unique group of children having a

by ESS on mid-facial growth subperiosteal orbital abscess

§ There

is

no

direct

or

indirect

commercial

financial

incentive

associated with

(SPOA), and compare

this

to

the non-

the article;

there

is no extra-institutional

funding; financial

there are no possible

publishing

side

using

antero-posterior

(AP)

cephalometric

radio-

operated

conflicts

of

interest;

there

are

no for

sources

of

support,

corporate

(soft

tissue

and

bone

intensity).

graphs

patent

holdings,

etc.

our

research/study;

and

there

is

no

ethical

involvement,

problem.

* Corresponding

author.

Tel.:

+972

8

9779417;

fax:

+972

8

9779421.

and methods

2. Materials

haim.ga@012.net.il

(H. Gavriel).

E-mail

address:

1 Affiliated

to

the

Sackler

Faculty

of Medicine,

Tel

Aviv University,

Ramat

Aviv,

study was

approved

by

the

IRB.

The

Israel.

http://dx.doi.org/10.1016/j.ijporl.2015.02.016 0165-5876/ 2015 Elsevier Ireland Ltd. All

rights

reserved.

92