保存的に治療した小児急性副鼻腔炎眼窩内合併症の4例

抄録

We report four cases of pediatric orbital complications caused by acute rhinosinusitis in our hospital from January 2004 to December 2014. Clinical characteristics such as age, gender, affected sinus, pathogenic bacteria, eye symptoms, and hospital days were evaluated. Two cases were diagnosed as orbital cellulits, which were successfully treated with intravenous antibiotics. Remaining two cases were diagnosed as subperiosteal abscess of orbital cavity with external opthalmoplegia and no visual acuity. Subperiosteal abscesses were located in superior lesion and inferomedial lesion of orbital cavity, respectively. In both cases, conservative treatments including intravenous antibiotics successfully improved eye symptoms without surgical interventions.