Orbital complications of pediatric rhinosinusitis: A single institution report
Background and Objectives. Rhinosinusitis is one of the most common infections of childhood. Rhinosinusitis usually limits itself in the pediatric age group, however orbital and intracranial complications may arise in some of the patients. The purpose of the study was to retrospectively analy...
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Hacettepe University Institute of Child Health
2020-08-01
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| Series: | The Turkish Journal of Pediatrics |
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| Online Access: | https://turkjpediatr.org/article/view/481 |
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| author | Göksel Turhal Sercan Göde Baha Sezgin İsa Kaya Aykut Bozan Raşit Midilli Bülent Karcı |
| author_facet | Göksel Turhal Sercan Göde Baha Sezgin İsa Kaya Aykut Bozan Raşit Midilli Bülent Karcı |
| author_sort | Göksel Turhal |
| collection | DOAJ |
| description |
Background and Objectives. Rhinosinusitis is one of the most common infections of childhood. Rhinosinusitis usually limits itself in the pediatric age group, however orbital and intracranial complications may arise in some of the patients. The purpose of the study was to retrospectively analyse the previous treatments and outcomes in pediatric rhinosinusitis patients with orbital complications.
Methods. The effect and prognosis of medical treatment and endoscopic sinus surgery are reported in this study. Twenty-five pediatric patients diagnosed with complicated rhinosinusitis between January 2008 - February 2016 were included in the study. Orbital complications, examination findings, radiological imaging and blood counts were retrospectively collected from patient files. The duration of hospitalization, source of the infection, complications, previous medical and surgical treatments were also retrospectively assessed.
Results. Average age of the patients were 8.84 ± 4.02 years (range: 1-16 years). The mean length of stay in hospital was 6.72 ± 3.28 days. Hospitalization in surgically treated group was higher than primarily medically treated group. However this difference could not reach to a statistically significant level (p > 0.05). Mean hospitalization time was found 5.21 ± 2.51 and 8.43 ± 2.87 days in patients diagnosed with preseptal cellulitis and subperiosteal abscess respectively. Hospitalization in patients with subperiosteal abscess was higher than preseptal cellulitis and a statistically significant difference was detected (p < 0.05).
Conclusion. Morbidity and mortality of orbital complications which are the most common complications of pediatric rhinosinusitis, could significantly be reduced by using appropriate treatment methods and an early diagnosis. Conservative therapy is an effective method for patients with preseptal cellulitis and most cases of orbital cellulitis in children.
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| format | Article |
| id | doaj-art-34077f20ebe146fda6b9d12ee7c95fbb |
| institution | DOAJ |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-34077f20ebe146fda6b9d12ee7c95fbb2025-08-20T03:01:14ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212020-08-0162410.24953/turkjped.2020.04.002Orbital complications of pediatric rhinosinusitis: A single institution reportGöksel Turhal0Sercan Göde1Baha Sezgin2İsa Kaya3Aykut Bozan4Raşit Midilli5Bülent Karcı6Department of Otorhinolaryngology, Ege University Faculty of Medicine, İzmir.Department of Otorhinolaryngology, Ege University Faculty of Medicine, İzmir.Department of Otorhinolaryngology, Ege University Faculty of Medicine, İzmir.Department of Otorhinolaryngology, Ege University Faculty of Medicine, İzmir.Department of Otorhinolaryngology, Medical Park Tarsus, Mersin, Turkey.Department of Otorhinolaryngology, Ege University Faculty of Medicine, İzmir.Department of Otorhinolaryngology, Ege University Faculty of Medicine, İzmir. Background and Objectives. Rhinosinusitis is one of the most common infections of childhood. Rhinosinusitis usually limits itself in the pediatric age group, however orbital and intracranial complications may arise in some of the patients. The purpose of the study was to retrospectively analyse the previous treatments and outcomes in pediatric rhinosinusitis patients with orbital complications. Methods. The effect and prognosis of medical treatment and endoscopic sinus surgery are reported in this study. Twenty-five pediatric patients diagnosed with complicated rhinosinusitis between January 2008 - February 2016 were included in the study. Orbital complications, examination findings, radiological imaging and blood counts were retrospectively collected from patient files. The duration of hospitalization, source of the infection, complications, previous medical and surgical treatments were also retrospectively assessed. Results. Average age of the patients were 8.84 ± 4.02 years (range: 1-16 years). The mean length of stay in hospital was 6.72 ± 3.28 days. Hospitalization in surgically treated group was higher than primarily medically treated group. However this difference could not reach to a statistically significant level (p > 0.05). Mean hospitalization time was found 5.21 ± 2.51 and 8.43 ± 2.87 days in patients diagnosed with preseptal cellulitis and subperiosteal abscess respectively. Hospitalization in patients with subperiosteal abscess was higher than preseptal cellulitis and a statistically significant difference was detected (p < 0.05). Conclusion. Morbidity and mortality of orbital complications which are the most common complications of pediatric rhinosinusitis, could significantly be reduced by using appropriate treatment methods and an early diagnosis. Conservative therapy is an effective method for patients with preseptal cellulitis and most cases of orbital cellulitis in children. https://turkjpediatr.org/article/view/481complicated rhinosinusitisendoscopic sinus surgeryorbital complicationspediatric rhinosinusitispreseptal cellulitis |
| spellingShingle | Göksel Turhal Sercan Göde Baha Sezgin İsa Kaya Aykut Bozan Raşit Midilli Bülent Karcı Orbital complications of pediatric rhinosinusitis: A single institution report The Turkish Journal of Pediatrics complicated rhinosinusitis endoscopic sinus surgery orbital complications pediatric rhinosinusitis preseptal cellulitis |
| title | Orbital complications of pediatric rhinosinusitis: A single institution report |
| title_full | Orbital complications of pediatric rhinosinusitis: A single institution report |
| title_fullStr | Orbital complications of pediatric rhinosinusitis: A single institution report |
| title_full_unstemmed | Orbital complications of pediatric rhinosinusitis: A single institution report |
| title_short | Orbital complications of pediatric rhinosinusitis: A single institution report |
| title_sort | orbital complications of pediatric rhinosinusitis a single institution report |
| topic | complicated rhinosinusitis endoscopic sinus surgery orbital complications pediatric rhinosinusitis preseptal cellulitis |
| url | https://turkjpediatr.org/article/view/481 |
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