CLINICAL AND PARA-CLINICAL CHARACTERISTICS AND TREATMENT OUTCOMES OF ACUTE RHINOSINUSITIS WITH ORBITAL COMPLICATIONS IN CHILDREN
Main Article Content
Abstract
Objective: To describe the clinical characteristics, paraclinical findings, and treatment outcomes of acute rhinosinusitis with orbital complications in 25 children under 16 years old treated at the National ENT Hospital (2018–2024). Subjects and Methods: Descriptive cross-sectional case series. Results: The mean age was 9.8 ± 4.2 years; the 11–16 age group accounted for 60%. Eyelid swelling was the most common symptom (96%). Preseptal cellulitis occurred in 48% of cases, and subperiosteal abscess in 28%. Ethmoid sinus involvement was seen in 100% of cases, and maxillary sinus in 92%. Positive bacterial cultures were found in 44%, mainly S. epidermidis and S. aureus. A combination of medical and surgical treatment was applied in 76% of patients; commonly used antibiotics included Ceftriaxone and Vancomycin. The average treatment duration was 11.4 days. Most patients recovered well. Conclusion: Orbital complications are the most common complications of acute rhinosinusitis in children. Diagnosis is based on clinical symptoms involving the nose, sinuses, and eyes, as well as CT imaging. Early treatment results in good outcomes, combining systemic antibiotics and surgery.
Keywords
Acute rhinosinusitis, Orbital complications, Children
Article Details
References
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