Orbital Involvement in Acute Sinusitis
Orbital Involvement in Acute Sinusitis
复制标题
急性鼻窦炎的眼眶受累
DOI：
10.1177/000992287701600510
复制
发表时间：
1977
影响因子：
1.6
通讯作者：
R. W. Clark
中科院分区：
文献类型：
--
作者：
D. B. Hawkins;R. W. Clark
任何儿童眼眶周围突然肿胀都应考虑急性细菌性鼻窦炎的可能性。治疗取决于疾病的阶段以及主要涉及的鼻窦。眼外运动和眼球突出是治疗的最佳指南。当没有眼球突出和眼外活动正常时，静脉注射抗生素和鼻腔去充血剂的保守治疗通常有效。当眼球活动度受损或眼球突出时，通常需要鼻内或外手术引流。在本文总结的24例患者中，以筛窦为主的12例，额窦7例，上颌窦5例。12例以筛窦炎为主的患者中只有4例需要手术治疗。在5例上颌窦炎患者中，2例需要手术治疗。7例均为优势额叶受累，需手术引流。
The possibility of acute bacterial sinusitis should be considered in any child with sudden swelling about the orbit. Management is determined by the stage of the disease as well as by the sinus predominantly involved. Extraocular movements and proptosis are the best guidelines for therapy. When there is no proptosis and extraocular mobility is normal, conservative therapy with intravenous antibiotics and nasal deconges tants is usually effective. When ocular mobility is impaired or proptosis develops, intranasal or external surgical drainage are usually required. Of 24 patients summarized in this paper, the ethmoid was the predominantly involved sinus in 12, the frontal in 7, the maxillary in 5. Only 4 of the 12 with predominant ethmoiditis required surgery. Of the 5 with predominant maxillary sinusitis, 2 required surgery. All 7 were pre dominant frontal involvement needed surgical drainage.