Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (6): 34-40.doi: 10.6040/j.issn.1673-3770.1.2019.062

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Clinical diagnosis and treatment of orbital complications following pediatric acute rhinosinusitis

ZHANG Chanyuan1, SUN Yulin2, WANG Lin1, ZHANG Li3, CHEN Min1, YI Longgang1, LI Na1, CUI Xin3, JIANG Yan1   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Nasal Skull Base Surgery, The Affiliated Hospital of Qingdao University/Shandong Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Qingdao 266003, Shandong, China;
  • Online:2019-11-20 Published:2019-12-23

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Abstract: Objective To study the clinical features and therapeutic strategies for orbital complications of pediatric rhinosinusitis. Methods The clinical data of 31 children with orbital complications caused by sinusitis treated in the Department of Otorhinolaryngology Head and Neck Surgery from October 2010 onwards were retrospectively analyzed and summarized. Results The orbital complications of pediatric sinusitis have different stages, which correspond with clinical characteristics and imaging findings. All cases were cured and discharged from our hospital. No recurrence occurred during the follow-up period of 9 to 24 months. One case was left with an eyelid ectropion, and one with a saddle nose. No serious complications such as cavernous sinus suppurative inflammation or an intracranial infection occurred. The bacterial culture rate in the patients pus and nasal secretions was 55%, including 4 cases of Staphylococcus aureus and 4 of Streptococcus pneumoniae. Conclusions In children, orbital complications caused by sinusitis occur more often in winter and spring, and males. It is closely related to other upper respiratory tract infections. The primary symptoms are atypical resulting in delayed treatment. Adequate and sensitive antibiotics should be used to control any infection early. Cefoperazone sodium and sulbactam sodium are usually used for treating children with rhinogenic orbital complications. If conservative treatment is ineffective, the stage of the disease should be assessed along with any changes in clinical and imaging manifestations examined. Satisfactory results can be obtained according to surgical indications.

Key words: Sinusitis, Children, Orbital complications, Orbital cellulitis, Treatment

CLC Number: 

  • R725.6
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