Orbital complications of pediatric sinusitis: treatment of periorbital abscess.
Twenty-six children requiring surgical intervention for orbital complications of acute sinusitis were treated at our institutions between 1985 and 1995. Twenty patients were successfully treated surgically utilizing endoscopic/microscopic endonasal surgery, or traditional external ethmoidectomy. However, six patients failed to respond to initial surgical attempts and ultimately required a revision. In one of these six patients the development of an intracranial abscess also necessitated a craniotomy for surgical drainage. Analysis of these six failures was performed with special attention given to the reasons for initial surgical failure and possible means for preventing revision surgeries.
Mann
W
W
Department of Otolaryngology, University of Mainz, Germany.
Amedee
R G
RG
Maurer
J
J
D000038:Abscess / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery*; D000208:Acute Disease; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery*; D012086:Reoperation; D012852:Sinusitis / Q000150:complications* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed