TỔNG QUAN VỀ KẾT QUẢ ĐIỀU TRỊ CÁC BIẾN CHỨNG Ổ MẮT TRONG VIÊM MŨI XOANG CẤP Ở TRẺ EM

Abstract

Objetives: Evaluate results of treatment of orbital complications in pediatric acute rhinosinusitis. Methods: Scoping review. Searching the database on Pubmed and manual searching related to treatment of orbital complications in pediatric acute rhinosinusitis. Results: 15 articles were included in the study: 11 were cross-sectional studies, 2 were cohort studies and 2 were case series. A total of 554 patients aged from 0,5 to 15 years old were included in the study, the average age was 6,1 years old. The proportion of men was 61.73%, women was 38.27%. There were 311 patients treated non-surgically and 269 patients underwent surgery. Symtomps to indicate surgery in patients with subperiosteal abscess are: chemosis, proptosis ≥ 2mm, limited eye movements, decrease visual acuity (< 20/60), the abscess width ≥ 1.2cm, intraocular pressure (IOP) ≥ 20mmHg and the abscess volume >1.5ml. Most patients recoverd completely, visual sequelae include ptosis, limited eye movement, loss (decreased vision). The mean duration of hospitalization stay was 6,6 days. The medical treatment group had a shorter long of stay than the surgical patient group. Conclusion: Orbital complications due to acute rhinosinusitis are an ENT emergency. Pre-septal and orbital cellulitis can be treated non-surgically, while orbital abscess and cavernous sinus thrombosis are treated surgically. Subperiosteal abscesses can be treated conservative in some cases, depend on patient characteristics, examination results, computed tomography and monitoring. Treatment of complications of Chandler III or higher still carries the risk of visual sequelae.