A ten year retrospective review of orbital complications secondary to acute sinusitis in children.
نویسندگان
چکیده
Acute sinusitis is most often a mild self-limiting disease. However, it may progress into severe and life threatening complications. One of the commonest being orbital complication of which visual loss is a direct consequence. In this 10 year retrospective study, the nature of orbital complication, clinical presentation and treatment modalities and outcome seen in children with acute sinusitis in a tertiary referral institute were reviewed. Of six patients, there was a case of preseptal cellulitis, 4 cases of subperiosteal abscess and one case of orbital abscess. Periorbital swelling was a common presenting feature. In 5 cases this was associated with proptosis with one case of impending optic nerve compression. The value of computed tomography and opthalmological examination as a component in the management plan is highlighted. All patients were treated with intravenous antibiotics but evidence of abscess collection warranted urgent surgical drainage in 5 patients, 3 being endoscopic drainage while external approach was done for the remaining 2 patients. Thus a child exhibiting orbital complication of acute sinusitis, prompt diagnosis and treatment is essential in obtaining the best outcome for the child.
منابع مشابه
Acute sinusitis in children: a retrospective study of orbital complications.
UNLABELLED Among the complications of sinusitis, those that involve the orbital region are the most frequent. AIM the objective of this paper is to show an incidence of orbital cellulites (OC) secondary to acute sinusitis in children. STUDY DESIGN retrospective. METHODS After board approval, the charts of all pediatric patients diagnosed with orbital complications secondary to sinusitis, ...
متن کاملIntraorbital and Intracranial Complications of Acute Rhinosinusitis: A Rare Case Report
Introduction: Complications of acute sinusitis affecting multiple sites are very uncommon in the antibiotic era. However, a significant proportion of patients (5–40%) suffering from acute sinusitis can have these complications mostly due to the delayed diagnosis of the disease. Patients can have variable presentations according to the site and extent of the infection. Case Report: A 21-ye...
متن کاملAnatomical Factors in Children with Orbital Complications Due to Acute Rhinosinusitis
Introduction: The role of the anatomical variations and severity of acute rhinosinusitis (ARS) in the development of ARS complications is still an unknown issue. Regarding this, the present study evaluated the relationship between the severity of ARS and anatomical nasal variations in pediatric patients with ARS-related orbital complications. Materials and Methods: Thi...
متن کاملNew-Onset Bacterial Sinusitis in Pediatric Liver Transplant Recipients; Case Series and Review of Literature
Introduction: As a standard measure in some chronic liver disorder, liver transplantation (LT) has performed for about 3 decades in pediatric populations. Post operatively some patients suffering from infectious complications by viral, bacterial and fungal etiologies. Here in we presented 10 children diagnosed as bacterial sinusitis presenting with prolonged fever and upper respiratory tract sy...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Medical journal of Malaysia
دوره 65 1 شماره
صفحات -
تاریخ انتشار 2010