Journal of Rhinology 2006;13(1):22-25.
Published online May 31, 2006.
Clinical Analysis of Orbital Complications of Acute Sinusitis according to Age
Jeong Hoon Oh, Min Jung Cho, Jung Yun Mo, Jung Whan Song, Hison Kahng, Hyun Jun Kim
1Department of Otolaryngology, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Korea.
2Department of Otolaryngology, Ajou University School of Medicine, Suwon, Korea. ENTKHJ@ajou.ac.kr
급성 부비동염에 의한 안와내 합병증의 연령에 따른 임상적 고찰
오정훈, 조민정, 모정윤, 송정환, 강희선, 김현준
가톨릭대학교 의과대학 대전성모병원 이비인후과학교실,1 아주대학교 의과대학 이비인후과학교실2
Abstract
Background and Objectives
Acute sinusitis is a mild, self-limiting disease. In children, however, sinusitis may lead to other severe, even life-threatening, conditions. Therefore, appropriate diagnosis and management are needed. Orbital complications from sinusitis are caused by expansion through natural suture lines, foramen, dehiscence of lamina bone and bony erosion due to acute infection and necrosis. The purpose of this study was to analyze the common types of orbital complications and to compare the symptoms, prognoses and treatments of children and of adults, respectively.
Materials and Method
Twenty-one children under15 years of age and thirteen adults over 15 were enrolled in the study. Symptoms, durations of treatment, treatment modalities, prognoses, and CT findings were analyzed.
Results
Preseptal cellulitis was found in 6 children (28.6%) and 8 adults (61.5%) ; subperiosteal abscess in 9 children (42.9%) and 3 adults (23.1%) ; and orbital cellulitis in 6 children (28.6%) and 2 adults (15.4%). Eye lid swelling was found in all subjects, while diplopia and limitation of eye movement was found in 4 children (19%) and 2 adults (15.4%). Medical treatment was the first line of therapy for both children (76.2%) and adults (61.5%), with the remaining children (23.8%) and adults (38.5%) receiving surgical treatment.
Conclusion
While generally more severe, orbital complications in children can be treated more conservatively than those arising in adults.
Key Words: Sinusitis;Orbit;Complications




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