Section: 
From practice
From practiceA clinical case of rhinogenous orbit phlegmon in a four months old infant
S. I. Alekseenko (1), (2), M. V. Molchanova (1), (2), S. A. Artyushkin (1), N. A. Malinovskaya (1), (2), V. V. Kopylov (2), (3)
(1) Mechnikov Northwest State Medical University, the Ministry of Healthcare of the Russia, Saint Petersburg, 191015, Russia
(2) Rauchfuss Children’s Municipal Multidisciplinary Clinical Center for High Medical Technologies, Saint-Petersburg, 193036, Russia
(3) Saint Petersburg State Medical University, the Ministry of Healthcare of the Russia, Saint-Petersburg, 194100, Russia
UDK: 616.714.7:616.216.1-002]-002.36(053.3)
DOI: https://doi.org/10.18692/1810-4800-2019-1-92-97
ABSTRACT
In spite of scientific achievements in diagnostics and treatment of the diseases of nose and paranasal sinuses in children, this problem remains important. Acute bacterial rhinosinusitis occupies one of the leading positions among ENT diseases in terms of seeking medical care, and often results in the development of orbital and intracranial complications. Rhinogenic orbital complications in children occur more frequently than in adults, where 10–22% are purulent-septic orbital processes with a possible outcome of blindness. The article presents a clinical case of acute purulent rhinosinusitis complicated with a right orbit phlegmon in a four months old infant. Timely diagnosis, early surgical treatment made it possible to stop the inflammatory process, to avoid the development of more severe complications. The specific features of diagnostics and treatment of acute rhinosinusitis in infants, occurring with orbital complications, predetermines the need for an interdisciplinary approach of doctors of different specialties.
Publication date:
07.02.2019
Keywords:
infants, orbit phlegmon, acute rhinosinusitis, computer-aided tomography. For citation:
Alekseenko S. I., Molchanova M. V., Artyushkin S. A., Malinovskaya N. A., Kopylov V. V. A clinical case of rhinogenous orbit phlegmon in a four months old infant. Rossiiskaya otorinolaringologiya. 2019;18(1):92–97. https://doi.org/ 10.18692/1810-4800-2019-1-92-97