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[Ethmoiditis and its orbital complications in children]
M Dewever1, C Dfouny, E De Paepe
1Service O.R.L., Hôpital Universitaire St Pierre, Bruxelles.
Insights
Acute ethmoïditis in children often resolves with antibiotics, but surgical drainage is necessary for abscesses, which are more common in older patients. This study reviews 74 cases to assess treatment outcomes.
Area of Science:
- Otolaryngology
- Pediatric Infectious Diseases
- Ophthalmology
Context:
- Acute ethmoïditis is a common childhood infection.
- Orbital complications can arise, necessitating careful management.
- Understanding treatment patterns is crucial for pediatric care.
Purpose:
- To evaluate the clinical course of ethmoïditis with orbital complications in children.
- To determine the frequency and indications for surgical intervention.
- To analyze treatment outcomes in pediatric patients.
Summary:
- A review of 74 children with acute ethmoïditis was conducted.
- Antibiotic therapy successfully treated most cases (69 patients), primarily resolving periorbital cellulitis.
- Abscess formation, more prevalent in older children, required surgical drainage.
Impact:
- Highlights the efficacy of antibiotics for uncomplicated ethmoïditis.
- Underscores the importance of surgical intervention for abscesses in pediatric patients.
- Informs clinical decision-making regarding the management of ethmoïditis and its orbital complications.
Abstract:
In order to evaluate the clinical evolution of ethmoïditis with orbital complications in children and the frequency of surgical treatment, the authors reviewed the clinical findings, evolution, complications and treatment on 74 children with acute ethmoïditis. The antibiotics heal the majority of children (69 cases) until the stage of periorbital cellulitis. The abscesses which are more frequent in older children require surgical drainage.
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