DANGEROUS COMPLICATIONS OF ACUTE RHINOSINUSITIS IN CHILDREN
DOI:
https://doi.org/10.11603/1681-2727.2025.4.15761Keywords:
acute rhinosinusitis, rhinogenic complications, functional endoscopic sinus surgeryAbstract
SUMMARY. Rhinogenic complications represent a group of diseases that occur when infection spreads from the nose and paranasal sinuses to the orbit and cranial cavity. They are classified as orbital or intracranial. At the Ternopil Regional Children’s Clinical Hospital, approximately 25 patients with rhinogenic complications are treated annually. According to our observations, conservative therapy is effective in 60 % of patients; conservative treatment combined with maxillary sinus puncture is effective in 24 %, while 16 % of patients require surgical intervention.
Based on our clinical observations, treatment approaches for patients with complications of acute rhinosinusitis have been optimized. The essential conditions for successful treatment of such patients include a multidisciplinary approach involving a neurologist, neurosurgeon, and ophthalmologist, as well as timely surgical intervention.
Conclusions. Functional endoscopic surgery of the nose and paranasal sinuses is the key to successful surgical management when the paranasal sinuses are the source of infection. Timely surgical intervention, combined with appropriately selected conservative therapy guided by antibiotic susceptibility, promotes faster recovery in the postoperative period.
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