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Pediatric Rhinosinusitis with Intraorbital Subperiosteal Abscess: A Case Report

小兒急性副鼻竇炎合併眼眶內骨膜下膿瘍:一病例報告

摘要


小兒急性副鼻竇炎合併眼部併發症為臨床常見之疾病,隨著現代診斷工具及治療技術之進步,發生率和罹病率都有顯著減低,但其併發症之危險性仍不容忽視。本部近幾個月來,以鼻竇內視鏡手術及抗生素,成功地治療數例因急性副鼻竇炎引發眼眶內骨膜下膿瘍之小兒病例。於本文章中,特將其中一病例提出報告,除了探討小兒急性副鼻竇炎合併眼部併發症之致病機轉及治療原則,並對鼻竇內視鏡手術相對於其他外科手術方式之優缺點加以分析。

並列摘要


Acute paranasal sinusitis with intraorbital subperiosteal abscess is relatively common in children. Although the advances in diagnostic modalities and therapeutic techniques decrease the incidence and morbidity, the orbital complications still have potential severity in children. In recent months, several cases were treated successfully with endoscopic surgical management and antibiotics in our hospital. In this paper, we presented one case of acute sinusitis with orbital complication and discussed the mechanism and management. We also discussed the advantages of the endoscopic approach compared with the external approach.

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