急性鼻-鼻窦炎患儿和成人眶并发症的发生率。
The prevalence of orbital complications among children and adults with acute rhinosinusitis.
机构信息
Serviços Médicos Reais da Jordânia, Centro Médico Rei Hussein, Departamento de Oftalmologia.
出版信息
Braz J Otorhinolaryngol. 2013 Nov-Dec;79(6):716-9. doi: 10.5935/1808-8694.20130131.
OBJECTIVE
To investigate orbital complications in children and adult with sinusitis.
METHOD
Patients attending ENT clinic with sinusitis from January 2010 until January 2012 were included. Patients were classified into two groups according to their age. First involved children aged less than 16 and second included adults older than 16 years. Clinical picture, sinus involved, management and outcome were compared.
RESULTS
The total number of patients were 616. Orbital complications were seen in 36 patients (5.8%). Twenty six patients (72.2%) were children (21 had preseptal and 5 had orbital cellulitis) and ten patients (27.8%) were adults (5 with preseptal, three with orbital cellulitis and 2 with abscess). The most common orbital complication was preseptal cellulitis (72.2%) followed by orbital cellulitis and abscess (22.2% and 5.6% respectively). The commonest sinus involved was ethmoidal in children and mixed sinus pathology in adults. The majority of patients responded to medical treatment.
CONCLUSION
Orbital complications of sinusitis are commoner in children than adults and have favorable prognosis.
KEYWORDS
Sinusitis, cellulitis, preseptal, abscess.
目的
探讨儿童和成人鼻窦炎的眼眶并发症。
方法
纳入 2010 年 1 月至 2012 年 1 月期间在耳鼻喉科诊所就诊的鼻窦炎患者。根据年龄将患者分为两组。第一组为年龄小于 16 岁的儿童，第二组为年龄大于 16 岁的成人。比较了临床表现、受累鼻窦、治疗方法和转归。
结果
共有 616 例患者。36 例（5.8%）出现眼眶并发症。26 例（72.2%）为儿童（21 例为眶隔前蜂窝织炎，5 例为眶蜂窝织炎），10 例（27.8%）为成人（5 例眶隔前蜂窝织炎，3 例眶蜂窝织炎，2 例脓肿）。最常见的眼眶并发症是眶隔前蜂窝织炎（72.2%），其次是眶蜂窝织炎和脓肿（22.2%和 5.6%）。儿童最常见受累鼻窦为筛窦，而成人则为多鼻窦病变。大多数患者对药物治疗有反应。
结论
鼻窦炎的眼眶并发症在儿童中比在成人中更为常见，且预后良好。
关键词
鼻窦炎、蜂窝织炎、眶隔前、脓肿。
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