The Complications of the Rhinosinusitis in Children
Keywords:
rhinosinusitis, orbital, complications, age, severityAbstract
Acute rhinosinusitis (ARS) is a common paediatric condition characterised by inflammation of the nose and sinuses. To describe the experience of orbital complications of ARS in the paediatric population and to identify risk factors associated with disease severity. This retrospective analysis evaluated the clinical outcomes of 78 children hospitalised for orbital complications between 2005 and 2020. Descriptive statistics were used to examine demographic data and clinical symptoms. Although all children were treated with antibiotics prior to hospitalisation, more than half of this cohort experienced post-septal orbital complications. A significant association was found between age at admission and severity of illness. Children over seven years of age had more severe orbital complications and were more likely to require surgery despite the administration of antibiotics prior to hospitalisation (p<0.001). In this study, stage II and III orbital complications at admission and older age were the most important determinants of failure of medical treatment. Early referral to an otolaryngologist should be considered for children older than seven years with ORS, as more severe orbital complications may occur despite preclinical antibiotics.
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