[Clinical analysis of orbital complications of acute pediatric sinusitis].
OBJECTIVE
To investigate the treatment outcome of surgical intervention for orbital complications of acute pediatric sinusitis.


METHODS
Five children with orbital complications of acute sinusitis were retrospectively reviewed. The patients underwent pediatric endoscopic sinus surgery (PESS) after conservative treatment failed.


RESULTS
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.


CONCLUSIONS
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.
Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Medical College, Qingdao University, Qingdao 266003, China.
Long-gang
LG
YU
Na
N
LI
Yan
Y
JIANG
Min
M
HAN
D000208:Acute Disease; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000150:complications* / Q000601:surgery; D012189:Retrospective Studies; D012852:Sinusitis / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome