Section: 
Science articles
Science articlesThe orbital complications of acute rhinosinusitis in pediatric patients: observational study
Sh. M. Ulashev (1), S. K. Makhmudova (1), N. Zh. Khushvakova (1)
(1) Samarkand State Medical University, Samarkand, 140100, Uzbekistan
UDK: УДК 616.216-002.06:617.76-08-031.81-08-06-053.2
DOI: https://doi.org/10.18692/1810-4800-2023-1-41-46
ABSTRACT
Objectives. To describe the experience of orbital complications of ARS in the paediatric population and to identify risk factors associated with disease severity. Methods: This retrospective analysis evaluated the clinical outcomes of 78 children hospitalised for orbital complications between 2005 and 2020. Descriptive statistics were used to examine demographic data and clinical symptoms. Results. Although all children were treated with antibiotics prior to hospitalisation, more than half of this cohort experienced post-septal orbital complications. A significant association was found between age at admission and severity of illness. Children over seven years of age had more severe orbital complications and were more likely to require surgery despite the administration of antibiotics prior to hospitalisation (p < 0.001). Conclusions. In this study, stage II and III orbital complications at admission and older age were the most important determinants of failure of medical treatment. Early referral to an otolaryngologist should be considered for children older than seven years with ORS, as more severe orbital complications may occur despite preclinical antibiotics.
Publication date:
06.03.2023
Keywords:
rhinosinusitis, orbital, complications, age, severity. For citation:
Ulashev Sh. M., Makhmudova S. K., Khushvakova N. Zh. The orbital complications of acute rhinosinusitis in pediatric patients: observational study. Russian Otorhinolaryngology. 2023;22(1):41-46. https://doi.org/10.18692/1810-4800-2023-1-41-46