According
to the American Academy of Otolaryngology – Head
and Neck Surgery (AAO-HNS), sinuses in children are, on average,
not fully developed until they are 20 years old. When a child
is born the maxillary and ethmoid sinuses, although small, are
already
present, but the frontal sinuses are not. The sinuses grow when
as the child ages and compete development as a person enters
adulthood.
Because sinusitis and cold symptoms can be similar,
it is important to fully understand both so that you can recognize
a possible sinus
infection when it occurs in your child. Symptoms of sinusitis for
children are often less specific than those in adults. Adults often
experience symptoms that include unusual discharge from the nose,
swelling or dull pain and tenderness around the cheek and eye area,
and pressure or pain in the head, but a child may just have a stuffy
nose, runny nose, and low fever.
The most important thing to pay attention to when
it comes to your child’s symptoms is the duration of symptoms.
If a child has symptoms that seem like a cold for more than 10
days,
they
most likely have acute sinusitis. If a child has symptoms that
occur for more than a few months the common diagnosis may be
chronic sinusitis.
The National Institute of Allergy and Infectious Diseases offers
the following information on sinusitis symptoms:
“Most people with sinusitis, however, have
pain or tenderness in several locations, and their symptoms usually
do not clearly
indicate which sinuses are inflamed.
Other symptoms of sinusitis can include
> Fever
> Weakness
> Tiredness
> A cough that may be more severe at night
> Runny nose (rhinitis) or nasal congestion
In addition, the drainage of mucus from the sphenoids
or other sinuses down the back of your throat (postnasal drip)
can cause
you to have a sore throat. Mucus drainage also can irritate the
membranes lining your larynx (upper windpipe).”
The symptoms, while usually identifiable by adults,
may not be as easy to identify in young children. Also, children
may not be
able to affectively articulate their symptoms and may just say
they have a “stuffy nose” or that their “head
hurts”.
The most common treatment for both acute and chronic
sinusitis is antibiotics, often accompanied by nasal rinsing.
Nebulized
antibiotics may also be available to treat your child’s sinus
infection. If allergies are triggering in the inflammation, antihistamines
or other allergy medications may also be used.
Because a child’s sinuses are not fully developed,
sinus surgery is usually not necessary as a sinusitis treatment
for
young children. It is only used in rare cases where other medications
fail.
If your child seems to have a cold that is lasting a while, remember
to pay close attention to his or her symptoms and think about taking
your child to the doctor for a more accurate diagnosis. Ask their
pediatrician to check for a sinus infection because early diagnosis
can help relive painful sinusitis symptoms and fight off a sinus
infection more quickly.
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