PECULIAR ASPECTS OF INFLAMMATORY SINO-ORBITAL SYNDROME IN CHILDREN
Abstract:
Purpose: the paper emphasizes an interdisciplinary pathology of sinus etiology with orbital involvement which often raises issues regarding the solving of the cases in due time. Material and method: it is reported a group of 8 children between 3 and 18 years-old, with different ophthalmologic diagnosis (orbital cellulitis, phlegmon, dacryocystitis, retrobulbar optic neuritis) but they all suffered from severe paranasal sinusitis. The management of the cases and the most efficient treatment are described. Results: at first, due to the ophthalmologic manifestation of the disease, the children usually go to the ophthalmologist, who initiates an examination strategy as well as an initial treatment. Along with the radioimagistic diagnosis of a paranasal sinusitis, mostly ethmoidal in children’s case, the ENT specialist takes under consideration the drainage of the sinus infection. All interventions were done by FESS method and had excellent results. Conclusions: keeping in mind that most of the time there are major emergencies lives threatening for the children, the ophthalmologist must be able to establish a probable diagnosis in due time and send the child to a paraclinical, interclinical consult (CT, ENT) qualified in solving such a case.
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