The prevalence of orbital complications among children and adults with acute rhinosinusitis

Al-Madani, Mousa; Khatatbeh, Ahmed E.; Rawashdeh, Rania Zaid; Al-Khtoum, Nemer; Shawagfeh, Nabil Radwan

doi:10.5935/1808-8694.20130131

Cited by 33 publications

(22 citation statements)

References 13 publications

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“…the progress of ophthalmological signs, such as proptosis, conjunctival injection and limitation of extraocular movements, is highly suggestive of an intraorbital process and requires radiological examination [10]. the investigation of choice is a contrastenhanced sinus ct in order to verify the diagnosis and to assess the severity of the subperiosteal abscess [1,6,11]. indications are a ring-enhanced lesion or presence of air-fluid level in the extraocular space, displacement and enlargement of the medial rectus muscle and proptosis.…”

Section: Resultsmentioning

confidence: 99%

“…Preseptal cellulitis responds to conservative treatment. an orbital abscess requires immediate surgical intervention involving decompression of the orbit, abscess drainage and opening of the affected sinuses [1,10]. drainage was undertaken in 7 patients with stage iii.…”

Section: Discussionmentioning

confidence: 99%

“…the orbital complications include preseptal cellulitis, orbital cellulitis and abscess formation [1,10]. Preseptal cellulitis is an infection of an eyelid and adjacent skin anterior to the orbital septum.…”

Section: Discussionmentioning

confidence: 99%

“…in adults, the development of the frontal sinus makes it a frequent cause of orbital involvement, along with maxillary sinus. sphenoid sinus involvement is rare and may lead to optic nerve involvement [1,2]. sinus infection can spread to involve orbital and intracranial structures directly, by retrograde extension or, rarely, by hematogenous spread.…”

Section: Introductionmentioning

confidence: 99%

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Orbital complications of acute rhinosinusitis in children: a retrospective review of 33 patients

Pucher¹,

Magdalena²,

Kotowski³

et al. 2018

fmpcr

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Background. acute rhinosinusitis occurs commonly in children. orbital complications are reported in 5% to 7% of patients. orbital involvement is reported to occur more often in children than in adults. Objectives. to evaluate the prevalence of orbital complications in children with acute rhinosinusitis. Material and methods. a retrospective study of 33 children referred to our department with orbital complications of acute rhinosinusitis between January 2016 and March 2018 was carried out. Patients' charts were investigated for the following data: gender and morbidity rate in the different age groups. diagnostic imaging-ct scans and/or X-ray of the paranasal sinuses were analyzed. the incidence of the stages of orbital complications and their primary treatment (conservative or surgery) was evaluated. Results. group 1 (0-3 years of age) included 7 children. group 2 (children aged 4-10 (n = 22) were affected most often. group 3 (11-18 years of age) involved 4 patients. in a majority of patients, a ct scan was performed. an analysis of the stages of disease according to chandler's classification revealed that stage i of orbital complications occurred most frequently, with a predominance in younger children. Conclusions. the proper distinction between preseptal and orbital cellulitis, and subperiosteal abscess, is crucial in choosing the appropriate treatment strategy. any delay may result in threatening vision complications.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Orbital complications of acute rhinosinusitis in children: a retrospective review of 33 patients

Pucher¹,

Magdalena²,

Kotowski³

et al. 2018

fmpcr

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“…This leads to the development of a subperiostealabscess of the orbit. The prevalence of orbital complications of ARS in children is higher in children than adults and has a more favorable prognosis [28]. Orbital complications are classified according to Chandler's…”

Section: Complicationsmentioning

confidence: 99%

Pediatric Rhinosinusitis

Badr

Gaffin

Phipatanakul

2016

Curr Treat Options Allergy

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Opinion statement Rhinosinusitis, is defined as an inflammation of the paranasal and nasal sinus mucosae. Chronic rhinosinusitis (CRS)is a common problem in the pediatric age group and the diagnosis and treatment are challenging due to the chronicity and similarity of symptoms with allergic rhinitis and adenoid hypertrophy. Although it is less common than acute rhinosinusitis, CRS is becoming more frequent and significantly affects the quality of life in children and can substantially impair daily function. CRS is characterized by sinus symptoms lasting more than 3 months despite medical therapy. Many factors are involved in the pathogenesis of this disease and include a primary insult with a virus followed bybacterial infection and mucosal inflammation, along with predisposition to allergies. The standard treatment of pediatricacute bacterial rhinosinusitis (ABRS) is nasal irrigation and antibiotic use. Medical treatment of pediatric CRS includes avoidance of allergens in allergic patients (environmental or food) and therapy with nasal irrigation, nasal corticosteroids sprays, nasal decongestants, and antibiotics directed at the most common sinonasalorganisms (Haemophilusinfluenzae, Streptococcus pneumoniae, and Moraxella catarrhalis). Surgical therapy is rarely needed after appropriate medical therapy. Referral to an otolaryngologist and allergy specialist is recommended in case of failure of medical treatment.

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Preseptal and Orbital Cellulitis

Reem

2016

Practical Management of Pediatric Ocular Disorders and Strabismus

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The prevalence of orbital complications among children and adults with acute rhinosinusitis

Abstract: Sinusitis, cellulitis, preseptal, abscess.

Cited by 33 publications

References 13 publications

Orbital complications of acute rhinosinusitis in children: a retrospective review of 33 patients

Orbital complications of acute rhinosinusitis in children: a retrospective review of 33 patients

Pediatric Rhinosinusitis

Preseptal and Orbital Cellulitis

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