Factors that prolong the duration of recovery in acute rhinosinusitis with orbital complications.
Acute rhinosinusitis
Chandler’s classification
adult patients
orbital complications
the duration of recovery
Journal
Acta oto-laryngologica
ISSN: 1651-2251
Titre abrégé: Acta Otolaryngol
Pays: England
ID NLM: 0370354
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
pubmed:
11
1
2019
medline:
25
6
2019
entrez:
11
1
2019
Statut:
ppublish
Résumé
Regarding prognostic factors of acute rhinosinusitis (ARS) with orbital complications, there are few studies including adult cases. The present study aims to delineate prognostic factors of ARS with orbital complications. We conducted a retrospective analysis of medical records of 21 patients (6 pediatric and 15 adult patients) with ARS with orbital complications. The duration of recovery was defined as the time from initial diagnosis to complete resolution of local findings and all symptoms. Orbital complications due to postoperative cysts or mycosis were excluded. Twenty-one patients comprised 11 males and 10 females. Chandler's classification showed group I in 4, group II in 8, and group III in 9. None of six pediatric patients required any surgical intervention, whereas five adult patients (23.8%) underwent surgical intervention. The average period of recovery was 8.1 days. In univariate analysis, the duration of recovery was significantly longer among adult cases (p < .01) and cases with Chandler's groups II-III (p = .019). In multivariate analysis, adult patients had a significantly longer duration of recovery than pediatric patients (p = .027). The present study suggested that ARS with orbital complications may have prolonged clinical course in adults.
Sections du résumé
BACKGROUND
BACKGROUND
Regarding prognostic factors of acute rhinosinusitis (ARS) with orbital complications, there are few studies including adult cases.
OBJECTIVES
OBJECTIVE
The present study aims to delineate prognostic factors of ARS with orbital complications.
MATERIAL AND METHODS
METHODS
We conducted a retrospective analysis of medical records of 21 patients (6 pediatric and 15 adult patients) with ARS with orbital complications. The duration of recovery was defined as the time from initial diagnosis to complete resolution of local findings and all symptoms. Orbital complications due to postoperative cysts or mycosis were excluded.
RESULTS
RESULTS
Twenty-one patients comprised 11 males and 10 females. Chandler's classification showed group I in 4, group II in 8, and group III in 9. None of six pediatric patients required any surgical intervention, whereas five adult patients (23.8%) underwent surgical intervention. The average period of recovery was 8.1 days. In univariate analysis, the duration of recovery was significantly longer among adult cases (p < .01) and cases with Chandler's groups II-III (p = .019). In multivariate analysis, adult patients had a significantly longer duration of recovery than pediatric patients (p = .027).
CONCLUSION AND SIGNIFICANCE
CONCLUSIONS
The present study suggested that ARS with orbital complications may have prolonged clinical course in adults.
Identifiants
pubmed: 30626278
doi: 10.1080/00016489.2018.1539516
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM