Komfo Anokye E¤itim Hastanesi'ndeki çocuklarda sinüzite ba¤l> orbital komplikasyonlar

Amaç: Çalıflmanın amacı Gana, Kumasi'de bulunan Komfo AnokyeEğitim Hastanesi'ndeki çocuklarda sinüzite bağlı orbital komplikasyonların patern ve insidanslarını değerlendirmektir. Yöntem:Hastalığın değiflik evre ve formlarının patern ve insidanslarını değerlendirmek için befl yıllık dönemde 1627 çocuk arasında sinüzit sonucu değiflik orbital komplikasyonlarla gelmifl 2 ila 14 yafllarında 92 çocuk değerlendirilmifltir. Bulgular:Değerlendirilen 1627 çocuktan 92'sinde (%5.7) orbitalkomplikasyonlar mevcuttu. Komplikasyon olanlar arasında %52.2'siorbital selülit, %22.8'i subperiostal apse, %14.1'i periorbital selülit,%8.7'si orbital apse, %2.2'si kavernöz sinüs trombozuyla gelmiflti. Sonuç:Sinojenik orbital komplikasyonların düflük insidansına rağmen bu çalıflma çocuklarda sinüzit nedeniyle tüm orbital komplikasyonlar içinde en çok görülenin orbital selülit olduğunu göstermiştir.

Orbital complications of sinusitis in children in Komfo Anokye Teaching Hospital

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 whopresented with various orbital complications as a result of sinusitisamong 1627 children in a 5-year period were evaluated to analyze thepattern 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 withorbital cellulitis, 22.8% presented with subperiosteal abscess, 14.1%presented with periorbital cellulitis, 8.7% presented with orbitalabscess, 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 commonamong all orbital complications as a result of sinusitis in children.

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