Clinical Analysis of Orbital Complications of Acute Sinusitis according to Age
Journal of Rhinology
;
: 22-25, 2006.
Article
Dans Coréen
| WPRIM
| ID: wpr-63610
ABSTRACT
BACKGROUND AND OBJECTIVES:
Acute sinusitis is a mild, self-limiting disease. In children, however, sinusitis may lead to other severe, even life-threatening, conditions. Therefore, appropriate diagnosis and management are needed. Orbital complications from sinusitis are caused by expansion through natural suture lines, foramen, dehiscence of lamina bone and bony erosion due to acute infection and necrosis. The purpose of this study was to analyze the common types of orbital complications and to compare the symptoms, prognoses and treatments of children and of adults, respectively. Materials andMethod:
Twenty-one children under15 years of age and thirteen adults over 15 were enrolled in the study. Symptoms, durations of treatment, treatment modalities, prognoses, and CT findings were analyzed.RESULTS:
Preseptal cellulitis was found in 6 children (28.6%) and 8 adults (61.5%) ; subperiosteal abscess in 9 children (42.9%) and 3 adults (23.1%) ; and orbital cellulitis in 6 children (28.6%) and 2 adults (15.4%). Eye lid swelling was found in all subjects, while diplopia and limitation of eye movement was found in 4 children (19%) and 2 adults (15.4%). Medical treatment was the first line of therapy for both children (76.2%) and adults (61.5%), with the remaining children (23.8%) and adults (38.5%) receiving surgical treatment.CONCLUSION:
While generally more severe, orbital complications in children can be treated more conservatively than those arising in adults.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Orbite
/
Pronostic
/
Sinusite
/
Matériaux de suture
/
Cellulite sous-cutanée
/
Diagnostic
/
Abcès
/
Diplopie
/
Mouvements oculaires
/
Cellulite orbitaire
Type d'étude:
Etude diagnostique
/
Étude pronostique
Limites du sujet:
Adulte
/
Enfant
/
Humains
langue:
Coréen
Texte intégral:
Journal of Rhinology
Année:
2006
Type:
Article
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