بررسي عوارض چشمي سينوزيتها در اطفال در بخش گوش و حلق و بيني مركز پزشكي كودكان تبريز از سال (77-1372)

REVIEW OF ORBITAL COMPLICATION OF THE SINUSITIS IN CHILDREN

Background and Objectives: Orbital sinusitis , usually secondary to sinusitis in children , may develop serious complication if not diagnosed and treated timely and properly. Modem diagnostic techniques such as computed tomography (CT) and magnetic resonance imaging (MRI) can be valid imaging choice for sinusitis and orbital cellulitis . Materials and Methods: A review from case histories of 18 children was undertaken. These children were admitted to the Children hospital from 1994 - 1999. All of them had undergone preoperative CT scans. Six of these patients underwent surgery for subperiosteal abscess of the orbit (SPA), and 12 of them were treated with antibiotic therapy for cellulites of the orbit. Results: Amongst the patients studied, opacified sinuses were seen in all of them. Collection of abscess was found in six patients (33.3%). All patients did well following surgical intervention for abscess and antibiotic therapy for cellulites without visual sequelae. Conclusions: We conclude from this study that CT scans should be obtained when orbital cellulites is suspected, and antimicrobial therapy should be directed toward the pathogenic bacteria isolated from these abscesses.