A ten year retrospective review of orbital complications secondary to acute sinusitis in children

D. N. Pengiran Suhaili, Bee See Goh, Balwant Singh Gendeh

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Acute sinusitis is most often a mild self-limiting disease. However, it may progress into severe and life threatening complications. One of the commonest being orbital complication of which visual loss is a direct consequence. In this 10 year retrospective study, the nature of orbital complication, clinical presentation and treatment modalities and outcome seen in children with acute sinusitis in a tertiary referral institute were reviewed. Of six patients, there was a case of preseptal cellulitis, 4 cases of subperiosteal abscess and one case of orbital abscess. Periorbital swelling was a common presenting feature. In 5 cases this was associated with proptosis with one case of impending optic nerve compression. The value of computed tomography and opthalmological examination as a component in the management plan is highlighted. All patients were treated with intravenous antibiotics but evidence of abscess collection warranted urgent surgical drainage in 5 patients, 3 being endoscopic drainage while external approach was done for the remaining 2 patients. Thus a child exhibiting orbital complication of acute sinusitis, prompt diagnosis and treatment is essential in obtaining the best outcome for the child.

Original languageEnglish
Pages (from-to)49-52
Number of pages4
JournalMedical Journal of Malaysia
Volume65
Issue number1
Publication statusPublished - Mar 2010

Fingerprint

Sinusitis
Abscess
Drainage
Exophthalmos
Cellulitis
Optic Nerve
Referral and Consultation
Retrospective Studies
Tomography
Anti-Bacterial Agents
Therapeutics

Keywords

  • Acute sinusitis
  • Children
  • Management
  • Orbital complication

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A ten year retrospective review of orbital complications secondary to acute sinusitis in children. / Pengiran Suhaili, D. N.; Goh, Bee See; Gendeh, Balwant Singh.

In: Medical Journal of Malaysia, Vol. 65, No. 1, 03.2010, p. 49-52.

Research output: Contribution to journalArticle

@article{d645f527078e4b33bf96949438c596bd,
title = "A ten year retrospective review of orbital complications secondary to acute sinusitis in children",
abstract = "Acute sinusitis is most often a mild self-limiting disease. However, it may progress into severe and life threatening complications. One of the commonest being orbital complication of which visual loss is a direct consequence. In this 10 year retrospective study, the nature of orbital complication, clinical presentation and treatment modalities and outcome seen in children with acute sinusitis in a tertiary referral institute were reviewed. Of six patients, there was a case of preseptal cellulitis, 4 cases of subperiosteal abscess and one case of orbital abscess. Periorbital swelling was a common presenting feature. In 5 cases this was associated with proptosis with one case of impending optic nerve compression. The value of computed tomography and opthalmological examination as a component in the management plan is highlighted. All patients were treated with intravenous antibiotics but evidence of abscess collection warranted urgent surgical drainage in 5 patients, 3 being endoscopic drainage while external approach was done for the remaining 2 patients. Thus a child exhibiting orbital complication of acute sinusitis, prompt diagnosis and treatment is essential in obtaining the best outcome for the child.",
keywords = "Acute sinusitis, Children, Management, Orbital complication",
author = "{Pengiran Suhaili}, {D. N.} and Goh, {Bee See} and Gendeh, {Balwant Singh}",
year = "2010",
month = "3",
language = "English",
volume = "65",
pages = "49--52",
journal = "Medical Journal of Malaysia",
issn = "0300-5283",
publisher = "Malaysian Medical Association",
number = "1",

}

TY - JOUR

T1 - A ten year retrospective review of orbital complications secondary to acute sinusitis in children

AU - Pengiran Suhaili, D. N.

AU - Goh, Bee See

AU - Gendeh, Balwant Singh

PY - 2010/3

Y1 - 2010/3

N2 - Acute sinusitis is most often a mild self-limiting disease. However, it may progress into severe and life threatening complications. One of the commonest being orbital complication of which visual loss is a direct consequence. In this 10 year retrospective study, the nature of orbital complication, clinical presentation and treatment modalities and outcome seen in children with acute sinusitis in a tertiary referral institute were reviewed. Of six patients, there was a case of preseptal cellulitis, 4 cases of subperiosteal abscess and one case of orbital abscess. Periorbital swelling was a common presenting feature. In 5 cases this was associated with proptosis with one case of impending optic nerve compression. The value of computed tomography and opthalmological examination as a component in the management plan is highlighted. All patients were treated with intravenous antibiotics but evidence of abscess collection warranted urgent surgical drainage in 5 patients, 3 being endoscopic drainage while external approach was done for the remaining 2 patients. Thus a child exhibiting orbital complication of acute sinusitis, prompt diagnosis and treatment is essential in obtaining the best outcome for the child.

AB - Acute sinusitis is most often a mild self-limiting disease. However, it may progress into severe and life threatening complications. One of the commonest being orbital complication of which visual loss is a direct consequence. In this 10 year retrospective study, the nature of orbital complication, clinical presentation and treatment modalities and outcome seen in children with acute sinusitis in a tertiary referral institute were reviewed. Of six patients, there was a case of preseptal cellulitis, 4 cases of subperiosteal abscess and one case of orbital abscess. Periorbital swelling was a common presenting feature. In 5 cases this was associated with proptosis with one case of impending optic nerve compression. The value of computed tomography and opthalmological examination as a component in the management plan is highlighted. All patients were treated with intravenous antibiotics but evidence of abscess collection warranted urgent surgical drainage in 5 patients, 3 being endoscopic drainage while external approach was done for the remaining 2 patients. Thus a child exhibiting orbital complication of acute sinusitis, prompt diagnosis and treatment is essential in obtaining the best outcome for the child.

KW - Acute sinusitis

KW - Children

KW - Management

KW - Orbital complication

UR - http://www.scopus.com/inward/record.url?scp=77958067267&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77958067267&partnerID=8YFLogxK

M3 - Article

VL - 65

SP - 49

EP - 52

JO - Medical Journal of Malaysia

JF - Medical Journal of Malaysia

SN - 0300-5283

IS - 1

ER -