Komfo Anokye Eğitim Hastanesi'ndeki çocuklarda sinüzite bağlı orbital komplikasyonlar

Abstract

Objective: To evaluate the pattern and incidence of orbital complications due to sinusitis in children in Komfo Anokye Teaching Hospital.
Methods: Ninety-two children aged between 2 and 14 years who presented with various orbital complications as a result of sinusitis among 1627 children in a 5-year period were evaluated to analyze the pattern and the incidence of the various stages and forms.
Results: Of the 1627 children evaluated, 92 (5.7%) had orbital complications. Among those with complications, 52.2% presented with orbital cellulitis, 22.8% presented with subperiosteal abscess, 14.1% presented with periorbital cellulitis, 8.7% presented with orbital abscess, and 2.2% presented with cavernous sinus thrombosis.
Conclusion: Despite the low incidence of sinogenic orbital complications, this study showed that orbital cellulitis is the most common among all orbital complications as a result of sinusitis in children.

Keywords

• Sinüzit,orbital komplikasyonlar,periorbital selülit,orbital selülit,subperiostal apse,kavernöz sinüs trombozu

References

1. 1. Sinclair CF, Berkowitz RG. Prior antibiotic therapy for acute sinusitis in children and the development of subperiosteal orbital abscess. Int J Pediatr Otorhinolaryngol 2007;71:1003–6.
2. 2. Sijuwola OO, Adeyemo AA, Adeosun AA. Orbital complications of rhinosinusitis. Ann Ib Postgrad Med 2007;5:6–8.
3. 3. Ubah J, Nwaorgu OGB, Ogunleye O. Paranasal sinusitis in the aetiology of orbital cellulitis. Nigerian journal of Ophthalmology 2005;13:8–10.
4. 4. Adedeji TO, Olaosun AO, Tobi JE, Adejumo OO. Sinugenic orbital infections in a Nigerian Teaching Hospital. Advance Tropical Medicine and Public Health International 2003;3:101–9.
5. 5. Moloney JR, Bedham NJ, McRae A. The acute orbit. Preseptal (periobital) cellutitis, subperiostal abscess and orbital cellulitis due to sinusitis. J Laryngol Otol Suppl 1987;12:1–18.
6. 6. Chandler JR, Lengenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope 1970;80:1414–28.
7. 7. Schramm VL Jr., Myers EN, Kennerdell JS. Orbital complication of acute sinusitis: evaluation, management and outcome. ORL J Otolaryngol Relat Spec 1978;86:221–30.
8. 8. Swift AC, Charlton G. Sinusitis and the acute orbit in children. J Laryngol Otol 1990;104:213–6.

9. 9. Wald ER. Acute sinusitis and orbital complications in children. Am J Otolaryngol 1983;4:424–7.
10. 10. Towbin R, Han BK, Kaufman RA, Burke M. Post-septal cellulitis; CT in diagnosis and management. Radiology 1986;158:735–7.
11. 11. Hirsch M, Lifshitz T. Computerized tomography in the diagnosis and treatment of orbital cellulitis. Padiatr Radiol 1988;18:302–5.
12. 12. Wells RG, Sty JR, Gonnening RS. Imaging of pediatric eye and orbit. Radiographics 1989;9:1023–44.
13. 13. Al-Madani MV, Khatatbeh AE, Rawasdeh RZ, Al-Khatoum NF, Shawagfeh NR. The prevalence of orbital complications among children and adults with acute sinusitis. Braz J Otorhinolaryngol 2013;79:716–9.
14. 14. Welkoborsky HJ, Graß S, Deichmüller C, Bertram O, Hinni ML. Orbital complications in children: differential diagnosis of a challenging disease. Eur Arch Otorhinolaryngol 2015;272:1157–63.
15. 15. Stojanoviç J, Iliç N, Beliç B, Ziviç L,Stankoviç P, Erdevicki L, Jovanoviç S. Orbital complications of rhinosinusitis. [Article in Serbian] Acta Chir Iugosl 2009;56:121–5.
16. 16. Neto LM, Pignatari S, Mitsuda S, Fava AS, Stamm A. Acute sinusitis in children – a retrospective study of orbital complications. Rev Bras Otorrhinolaringol 2007;73:81–5. PMID:
17. 17. Sobol SE, Marchand J, Tewfik TL, Manoukian JJ, Schloss MD. Orbital complications of sinusitis in children. J Otolaryngol 2002;31:131–6.