Orbital cellulitis due to sinusitis in children: diagnosis and multidisciplinary approach

Authors

DOI:

https://doi.org/10.33448/rsd-v9i11.10555

Keywords:

Orbital cellulitis; Sinusitis; Diagnosis.

Abstract

Background: Although rare, sinusitis is one of the main factors for orbital complications, such as orbital cellulitis and is highly prevalent in children. Its treatment must be done early, as the condition can evolve and present secondary complications such as meningitis, thrombosis of the cavernous sinus and even lead to death. In addition, the same should be done by a multidisciplinary team so that the treatment is effective and the prognosis is improved. Objective and case report: The objective is report a 4-year-old patient diagnosed with orbital cellulitis due to sinus complications that affected the facial sinuses and spread to the right eye, causing fever, malaise and amaurosis. The treatment was performed by Otorhinolaryngology by endoscopic surgery and after that the patient evolved well. Conclusion: In view of this, the improvement in the prognosis can be highlighted if both sinusopathy and the complication that, in this case, was orbital cellulitis are properly diagnosed and treated.

References

Becker, D. G. (2003). Sinusitis. J Long Term Eff Med Implants, 13(3), 175-194.

Carifi, M., & Carifi, G. (2014). Management of orbital infections related to sinusitis. J Craniofac Surg, 25(3), 1136-1137. https://doi.org/10.1097/SCS.0000000000000669

Chang, Y. S., Chen, P. L., Hung, J. H., Chen, H. Y., Lai, C. C., Ou, C. Y., Chang, C. M., Wang, C. K., Cheng, H. C., & Tseng, S. H. (2017). Orbital complications of paranasal sinusitis in Taiwan, 1988 through 2015: Acute ophthalmological manifestations, diagnosis, and management. PLoS One, 12(10), e0184477. https://doi.org/10.1371/journal.pone.0184477

de Assis-Costa, M. D., Santos, G. S., Maciel, J., Sonoda, C. K., & de Melo, W. M. (2013). Odontogenic infection causing orbital cellulitis in a pediatric patient. J Craniofac Surg, 24(5), e526-529. https://doi.org/10.1097/SCS.0b013e3182a239ae

Kinis, V., Ozbay, M., Bakir, S., Yorgancilar, E., Gun, R., Akdag, M., Sahin, M., & Topcu, I. (2013). Management of orbital complications of sinusitis in pediatric patients. J Craniofac Surg, 24(5), 1706-1710. https://doi.org/10.1097/SCS.0b013e3182a210c6

Mehrtens, J. M., & Spigarelli, M. G. (2010). Acute sinusitis. Adolesc Med State Art Rev., 21(2), 187-201.

Neto, L. M., Pignatari, S., Mitsuda, S., Fava, A. S., & Stamm, A. (2007). Acute Sinusitis in Children - A retrospective study of orbital complications. . Rev Bras Otorrinolaringol, 73(1), 81-85. https://doi.org/10.1590/S0034-72992007000100013

Pereira, C. U., De Carvalho, A. F., Pereira, J. C., & Pereira, F. D. A. (2017). Síndrome da fissura orbitária superior pós-traumática. Jbnc - Jornal Brasileiro De Neurocirurgia, 7(2), 39-42. https://doi.org/10.22290/jbnc.v7i2.191

Sade, R., & Polat, G. (2017). Rare and Serious Complications of Sinusitis in Pediatric Patients: Epidural Abscess. J Craniofac Surg, 28(2), e144-e145. https://doi.org/10.1097/SCS.0000000000003326

Santos, J. C., Pinto, S., Ferreira, S., Maia, C., Alves, S., & da Silva, V. (2019). Pediatric preseptal and orbital cellulitis: A 10-year experience. Int J Pediatr Otorhinolaryngol, 120, 82-88. https://doi.org/10.1016/j.ijporl.2019.02.003

Szyfter, W., Bartochowska, A., Borucki, L., Maciejewski, A., & Kruk-Zagajewska, A. (2018). Simultaneous treatment of intracranial complications of paranasal sinusitis. Eur Arch Otorhinolaryngol, 275(5), 1165-1173. https://doi.org/10.1007/s00405-018-4932-5

Vazquez, E., Creixell, S., Carreno, J. C., Castellote, A., Figueras, C., Pumarola, F., Poch, J. M., & Lucaya, J. (2004). Complicated acute pediatric bacterial sinusitis: Imaging updated approach. Curr Probl Diagn Radiol, 33(3), 127-145. https://doi.org/10.1067/j.cpradiol.2004.01.003

Voegels, R. L., Lorenzetti, F. T. M., D‘Antonio, W. E. P. A., Ikino, C. M. Y., & Butugan, O. (2002). Complicações orbitárias em pacientes com sinusite aguda. Revista Brasileira de Otorrinolaringologia, 68(2), 224-228. https://doi.org/10.1590/s0034-72992002000200011

Yeh, C. H., Chen, W. C., Lin, M. S., Huang, H. T., Chao, S. C., & Lo, Y. C. (2010). Intracranial brain abscess preceded by orbital cellulitis and sinusitis. J Craniofac Surg, 21(3), 934-936. https://doi.org/10.1097/SCS.0b013e3181d84124

Zacharisen, M., & Casper, R. (2005). Pediatric sinusitis. Immunol Allergy Clin North Am, 25(2), 313-332, vii. https://doi.org/10.1016/j.iac.2005.02.002

Published

03/12/2020

How to Cite

SILVA, M. C.; LIMA NETO , T. J. de .; SANTOS, A. M. de S. .; RIOS, B. R. .; MACHADO, N. E. da S.; FAVERANI , L. P. Orbital cellulitis due to sinusitis in children: diagnosis and multidisciplinary approach. Research, Society and Development, [S. l.], v. 9, n. 11, p. e79991110555, 2020. DOI: 10.33448/rsd-v9i11.10555. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/10555. Acesso em: 12 nov. 2024.

Issue

Section

Health Sciences