Komfo Anokye Eğitim Hastanesi'ndeki çocuklarda sinüzite bağlı orbital komplikasyonlar
Komfo Anokye Eğitim Hastanesi'ndeki çocuklarda sinüzite bağlı orbital komplikasyonlar
Objective: To evaluate the pattern and incidence of orbital complications due to sinusitis in children in Komfo Anokye Teaching Hospital.Methods: Ninety-two children aged between 2 and 14 years who presented with various orbital complications as a result of sinusitis among 1627 children in a 5-year period were evaluated to analyze the pattern and the incidence of the various stages and forms.Results: Of the 1627 children evaluated, 92 (5.7%) had orbital complications. Among those with complications, 52.2% presented with orbital cellulitis, 22.8% presented with subperiosteal abscess, 14.1% presented with periorbital cellulitis, 8.7% presented with orbital abscess, and 2.2% presented with cavernous sinus thrombosis.Conclusion: Despite the low incidence of sinogenic orbital complications, this study showed that orbital cellulitis is the most common among all orbital complications as a result of sinusitis in children.
___
- 1. Sinclair CF, Berkowitz RG. Prior antibiotic therapy for acute
sinusitis in children and the development of subperiosteal orbital
abscess. Int J Pediatr Otorhinolaryngol 2007;71:1003–6.
- 2. Sijuwola OO, Adeyemo AA, Adeosun AA. Orbital complications
of rhinosinusitis. Ann Ib Postgrad Med 2007;5:6–8.
- 3. Ubah J, Nwaorgu OGB, Ogunleye O. Paranasal sinusitis in the
aetiology of orbital cellulitis. Nigerian journal of Ophthalmology
2005;13:8–10.
- 4. Adedeji TO, Olaosun AO, Tobi JE, Adejumo OO. Sinugenic
orbital infections in a Nigerian Teaching Hospital. Advance
Tropical Medicine and Public Health International 2003;3:101–9.
- 5. Moloney JR, Bedham NJ, McRae A. The acute orbit. Preseptal
(periobital) cellutitis, subperiostal abscess and orbital cellulitis due
to sinusitis. J Laryngol Otol Suppl 1987;12:1–18.
- 6. Chandler JR, Lengenbrunner DJ, Stevens ER. The pathogenesis
of orbital complications in acute sinusitis. Laryngoscope
1970;80:1414–28.
- 7. Schramm VL Jr., Myers EN, Kennerdell JS. Orbital complication
of acute sinusitis: evaluation, management and outcome. ORL J
Otolaryngol Relat Spec 1978;86:221–30.
- 8. Swift AC, Charlton G. Sinusitis and the acute orbit in children. J
Laryngol Otol 1990;104:213–6.
- 9. Wald ER. Acute sinusitis and orbital complications in children.
Am J Otolaryngol 1983;4:424–7.
- 10. Towbin R, Han BK, Kaufman RA, Burke M. Post-septal cellulitis;
CT in diagnosis and management. Radiology 1986;158:735–7.
- 11. Hirsch M, Lifshitz T. Computerized tomography in the diagnosis
and treatment of orbital cellulitis. Padiatr Radiol 1988;18:302–5.
- 12. Wells RG, Sty JR, Gonnening RS. Imaging of pediatric eye and
orbit. Radiographics 1989;9:1023–44.
- 13. Al-Madani MV, Khatatbeh AE, Rawasdeh RZ, Al-Khatoum NF,
Shawagfeh NR. The prevalence of orbital complications among
children and adults with acute sinusitis. Braz J Otorhinolaryngol
2013;79:716–9.
- 14. Welkoborsky HJ, Graß S, Deichmüller C, Bertram O, Hinni ML.
Orbital complications in children: differential diagnosis of a challenging
disease. Eur Arch Otorhinolaryngol 2015;272:1157–63.
- 15. Stojanoviç J, Iliç N, Beliç B, Ziviç L,Stankoviç P, Erdevicki L,
Jovanoviç S. Orbital complications of rhinosinusitis. [Article in
Serbian] Acta Chir Iugosl 2009;56:121–5.
- 16. Neto LM, Pignatari S, Mitsuda S, Fava AS, Stamm A. Acute
sinusitis in children – a retrospective study of orbital complications.
Rev Bras Otorrhinolaringol 2007;73:81–5. PMID:
- 17. Sobol SE, Marchand J, Tewfik TL, Manoukian JJ, Schloss MD.
Orbital complications of sinusitis in children. J Otolaryngol
2002;31:131–6.