JOURNAL ARTICLE

Management of orbital complications of sinusitis in pediatric patients

Vefa Kinis, Musa Ozbay, Salih Bakir, Ediz Yorgancilar, Ramazan Gun, Mehmet Akdag, Muhammed Sahin, Ismail Topcu
Journal of Craniofacial Surgery 2013, 24 (5): 1706-10
24036759
The most common reason of orbital infections is sinusitis. Orbital complications of sinusitis are mostly seen in children. Loss of vision and intracranial infections are among the complications of sinusitis. Prompt diagnosis and treatment is very important in the management of orbital complications. The orbital complication can be in the form of cellulitis or abscess. A retrospective review of 26 pediatric patients with orbital complications due to sinusitis was presented in this study. Of 26 patients, there were 13 cases of preseptal cellulitis, 2 cases of orbital cellulitis, and 11 cases of subperiosteal abscess. We grouped the preseptal and orbital cellulites in one category and the subperiosteal abscess in the other. All patients in the cellulitis group recovered by medical treatment. All the patients were treated by surgical drainage. Early diagnosis and appropriate treatment method are vital for the treatment of orbital complications secondary to sinusitis.

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