title: Orbital complications of pediatric sinusitis: treatment of periorbital abscess.
abstract: 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.
authors.affiliation: Department of Otolaryngology, University of Mainz, Germany.
authors.forename: W
authors.initials: W
authors.lastname: Mann
authors.forename: R G
authors.initials: RG
authors.lastname: Amedee
authors.forename: J
authors.initials: J
authors.lastname: Maurer
mesh_terms: 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