[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.

Related Concept Videos

Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
Glaucoma: Overview01:25

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
Accessory Structures of the Eye01:17

Accessory Structures of the Eye

Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...
Microbiome of the Eye01:22

Microbiome of the Eye

The human eye has a specialized microbiota that reflects its unique anatomical and immunological environment. This low-biomass microbial community predominantly colonizes the conjunctiva and eyelid margins, playing a vital role in ocular surface homeostasis and defense. Despite its proximity to the richly colonized facial skin, the ocular surface maintains a distinct microbial profile due to continuous mechanical and biochemical defense mechanisms.The conjunctival surface hosts fewer microbial...
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...