Pediatric odontogenic maxillary sinusitis complicated by orbital cellulitis: A retrospective study of 25 cases from Bouake university hospital (Cote D’Ivoire)

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ABSTRACT Background Pediatric odontogenic maxillary sinusitis complicated by orbital cellulitis is a rare emergency, but one that can threaten vision and be life-threatening if management is inappropriate or delayed. The objective was to describe the epidemiological, diagnostic, and therapeutic profile of orbital cellulitis resulting from dental maxillary sinusitis. Methods This was a retrospective, descriptive study conducted in the Department of Stomatology and Maxillofacial Surgery over a 5-year period. Our study included all children under the age of 16 who were treated for orbital cellulitis resulting from dental maxillary sinusitis. Results A total of 25 cases were compiled . A male predominance was noted (60%) .Mean age was 10 .4 ± 1.4 years. Mean consultation delay was 5.2 ± 3.2 days . the predominant signs were unilateral eyelid edema , chemosis and Proptosis at respectives frequencies 100% ;64% and 48%.Chandler Stage III was the most frequently observed (52%).Therapeutically , Empirical broad-spectrum dual antibiotic therapy was initiated in all patients (100%) combined to surgical drainage of orbital collection (32%) and dental extraction (76%).Outcome was favorable in 88% of cases. Conclusion Medico-surgical emergency whose prognosis is critically dependent on timely and appropriate management

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