Abstract
Recently, we hardly meet the cases of orbital phlegmone caused by acute paranasal sinusitis because of development of antibiotics.
We have experienced 4 children with orbital phlegmone from acute paranasal sinusitis during the last 10 years and in one of them the inflammation spreaded intracranially.
The history, physical examination, plain radiography, CT and orbital ultrasonogram are useful for diagnosis. Identification of the pathogen is necessary for the treatment.
Initial therapy with high-dose of broad-spectrum antibiotics must be started as soon as possible. Surgical procedures may be required when clinical signs do not improve within 48 hours in spite of the antibiotic treatment or the inflammation may spread into the intracranium.
