Rhinosinusogenic orbital complications in children

This article presents the results of a retrospective analysis of the study of clinical and laboratory data of children with orbital complications of rhinosinusitis. The analysis showed that the greatest number of orbital complications occur in the younger group of children (1-7 years) - 72 (48%) patients, with acute sinusitis with complications, complaints were of increased body temperature, eyelid edema, headaches, and with chronic - chemosis and decreased vision prevailed. The most frequently detected growth of Staphylococcus aureus (45%). The analysis showed that timely initiation of treatment resulted in complete restoration of vision in almost all patients. In 1 patient with acute pansinusitis complicated by orbital phlegmon, vision in the right eye was not restored (the patient came on the 5th day after the onset of the disease). The effectiveness of the therapy conducted in rhinosinusogenic orbital complications depends on the correct etiotropic treatment. Determination of the species composition of microflora and its sensitivity to antibiotics is key. According to some authors, complex conservative treatment with the use of a lymphotropically sensitive antibiotic reduces surgical treatment of patients with rhinosinusogenic orbital complications