Treatment of Orbital Complications Following Acute Rhinosinusitis in Children
| Autor: | Yuzhu Wan, Guanggang Shi, Haibo Wang |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Subperiosteal abscess
medicine.medical_specialty genetic structures orbital complication lcsh:Medicine 03 medical and health sciences 0302 clinical medicine Cavernous Sinus Thrombophlebitis orbital cellulitis medicine Acute rhinosinusitis Optic neuritis surgical drainage 030223 otorhinolaryngology Acute rhinosinusitis orbital cellulitis subperiosteal abscess surgical drainage orbital complication business.industry lcsh:R General Medicine medicine.disease eye diseases Surgery 030220 oncology & carcinogenesis Original Article sense organs Orbital cellulitis business subperiosteal abscess |
| Zdroj: | Balkan Medical Journal, Vol 33, Iss 4, Pp 401-406 (2016) Volume: 33, Issue: 4 401-406 Balkan Medical Journal |
| ISSN: | 2146-3123 |
| Popis: | Background: The orbital complications account for about 80% of all complications secondary to acute rhinosinusitis. If the treatment is not correct and in time, orbital complications could progress rapidly, leading to optic neuritis, cavernous sinus thrombophlebitis or life-threatening intracranial complications. Aims: To evaluate the therapeutic efficacy of conservative therapy for the patients with orbital cellulitis and endoscopic sinus surgery (ESS) performed on patients with subperiosteal abscess (SPA) secondary to acute rhinosinusitis in children. Study Design: Retrospective cross-sectional study. Methods: The retrospective study included 31 pediatric patients with orbital complications secondary to acute rhinosinusitis. In all cases, intensive treatment was initiated with a combination of oral or intravenous antibiotics, glucocorticoid and gelomyrtol forte after admission. ESS was performed if an improvement in the condition of patients did not occur after 48 hours. However, the patients with orbital SPA, motility disorders of eyeball or decreased vision received ESS immediately within 24 hours. Results: Sixteen patients were cured by conservative therapy and 15 patients by ESS. All of the signs and symptoms disappeared after conservative therapy or ESS. There were no recurrences within the follow-up period of 1 to 8 years. Conclusion: Conservative therapy is an effective method for patients with inflammatory edema and most cases of orbital cellulitis in children. SPA can be cured by ESS. |
| Databáze: | OpenAIRE |
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