Clinical analysis of orbital complications of acute pediatric sinusitis / 中华耳鼻咽喉头颈外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the treatment outcome of surgical intervention for orbital complications of acute pediatric sinusitis.</p><p><b>METHODS</b>Five children with orbital complications of acute sinusitis were retrospectively reviewed. The patients underwent pediatric endoscopic sinus surgery (PESS) after conservative treatment failed.</p><p><b>RESULTS</b>There 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.</p><p><b>CONCLUSIONS</b>If 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.</p>