Clinical analysis of orbital complications of acute pediatric sinusitis.
- Author:
Long-gang YU
1
;
Na LI
;
Yan JIANG
;
Min HAN
Author Information
- Publication Type:Case Reports
- MeSH: Acute Disease; Adolescent; Child; Child, Preschool; Female; Humans; Male; Orbital Diseases; complications; surgery; Retrospective Studies; Sinusitis; complications; surgery; Treatment Outcome
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2012;47(4):314-316
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the treatment outcome of surgical intervention for orbital complications of acute pediatric sinusitis.
METHODSFive children with orbital complications of acute sinusitis were retrospectively reviewed. The patients underwent pediatric endoscopic sinus surgery (PESS) after conservative treatment failed.
RESULTSThere were 1 case with orbital cellulitis, 3 cases with subperiosteal abscess and 1 case with orbital abscess. After operation, the body temperature in all 5 patients returned to normal and ocular symptoms disappeared. CT or MRI was rechecked after PESS. The imaging showed that the orbital and nasal lesions disappeared.
CONCLUSIONSIf conservative treatment fails, it is important to perform PESS for children with orbital complications of acute sinusitis to clean the focus of infection as soon as possible. The surgery is safe and effective.