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Related Experiment Videos

Sinusitis and the acute orbit in children.

A C Swift1, G Charlton

  • 1ENT Department, Walton Hospital, Liverpool.

The Journal of Laryngology and Otology
|March 1, 1990
PubMed
Summary

Acute orbital infections, often linked to sinusitis, are rare but serious in children. This study found no severe complications in 68 pediatric cases, with most infections being unilateral.

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Area of Science:

  • Ophthalmology
  • Pediatric Infectious Diseases
  • Otorhinolaryngology

Background:

  • Acute orbital infection is an uncommon condition, frequently secondary to acute sinusitis.
  • While it can affect any age, it is most prevalent in children.
  • Potential severe outcomes include vision impairment, blindness, intracranial complications, and death.

Purpose of the Study:

  • To document the clinical experience with acute orbital infections in children at a major pediatric hospital.
  • To analyze the association between orbital sepsis and acute sinusitis in pediatric patients.
  • To evaluate the complications and outcomes of pediatric orbital infections.

Main Methods:

  • Retrospective review of hospital case notes.
  • Data collected from 1973 to 1989 at the Royal Liverpool Childrens Hospital, Alder Hey.
  • Inclusion criteria: children diagnosed with orbital sepsis.

Main Results:

  • Sixty-eight children were identified with orbital sepsis; 30 had associated acute sinusitis.
  • Orbital sepsis was consistently unilateral, with a predilection for the left side.
  • Ten children experienced diplopia; four required surgical drainage of a sub-periosteal abscess. No serious complications were noted, though two children had persistent diplopia for 2-3 months.

Conclusions:

  • Acute orbital infections in children, even when associated with sinusitis, can be managed without severe sequelae.
  • Unilateral presentation is typical, and prompt recognition and management of complications like sub-periosteal abscesses are important.
  • The study highlights a favorable outcome profile for pediatric orbital sepsis managed at the institution.

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