Treatment of Orbital Complications Following Acute Rhinosinusitis in Children.
BACKGROUND
The orbital complications account for about 80% of all complications secondary to acute rhinosinusitis. If the treatment is not correct and in time, orbital complications could progress rapidly, leading to optic neuritis, cavernous sinus thrombophlebitis or life-threatening intracranial complications.


OBJECTIVE
To evaluate the therapeutic efficacy of conservative therapy for the patients with orbital cellulitis and endoscopic sinus surgery (ESS) performed on patients with subperiosteal abscess (SPA) secondary to acute rhinosinusitis in children.


METHODS
Retrospective cross-sectional study.


METHODS
The retrospective study included 31 pediatric patients with orbital complications secondary to acute rhinosinusitis. In all cases, intensive treatment was initiated with a combination of oral or intravenous antibiotics, glucocorticoid and gelomyrtol forte after admission. ESS was performed if an improvement in the condition of patients did not occur after 48 hours. However, the patients with orbital SPA, motility disorders of eyeball or decreased vision received ESS immediately within 24 hours.


RESULTS
Sixteen patients were cured by conservative therapy and 15 patients by ESS. All of the signs and symptoms disappeared after conservative therapy or ESS. There were no recurrences within the follow-up period of 1 to 8 years.


CONCLUSIONS
Conservative therapy is an effective method for patients with inflammatory edema and most cases of orbital cellulitis in children. SPA can be cured by ESS.
Department of Otorhinolaryngology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China; Institute of Eye and ENT, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
Yuzhu
Y
Wan
Department of Otorhinolaryngology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China; Institute of Eye and ENT, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
Guanggang
G
Shi
Department of Otorhinolaryngology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China; Institute of Eye and ENT, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
Haibo
H
Wang
Acute rhinosinusitis; orbital cellulitis; orbital complication; subperiosteal abscess; surgical drainage