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Radzhabov R.M.

Pirogov Russian National Research Medical University;
Morozovskaya Children’s City Clinical Hospital

Polunin M.M.

Pirogov Russian National Research Medical University;
Morozovskaya Children’s City Clinical Hospital

Radtsig E.Yu.

Pirogov Russian National Research Medical University

Soldatskiy Yu.L.

Morozovskaya Children’s City Clinical Hospital

Edgem S.R.

Morozovskaya Children’s City Clinical Hospital

Denisova O.A.

Morozovskaya Children’s City Clinical Hospital

Poliakov A.A.

Morozovskaya Children’s City Clinical Hospital

Svirchevskiy I.I.

Pirogov Russian National Research Medical University;
Morozovskaya Children’s City Clinical Hospital

Rhinogenic orbital complications in children of the first year of life

Authors:

Radzhabov R.M., Polunin M.M., Radtsig E.Yu., Soldatskiy Yu.L., Edgem S.R., Denisova O.A., Poliakov A.A., Svirchevskiy I.I.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2025;90(5): 41‑47

DOI: 10.17116/otorino20259005141

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Table of contents

RHINOGENIC ORBITAL COMPLICATIONS IN CHILDREN OF THE FIRST YEAR OF LIFE
RHINOGENIC ORBITAL COMPLICATIONS IN CHILDREN OF THE FIRST YEAR OF LIFE

To cite this article:

Radzhabov RM, Polunin MM, Radtsig EYu, et al. . Rhinogenic orbital complications in children of the first year of life. Russian Bulletin of Otorhinolaryngology. 2025;90(5):41‑47. (In Russ.)
https://doi.org/10.17116/otorino20259005141

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To study the frequency of occurrence, peculiarities of course and treatment of orbital complications of sinusitis in children of the first year of life with rhinogenic orbital complications

MATERIAL AND METHODS

A retrospective analysis of treatment of 74 patients of the first year of life (mean age 8.9±3.0 months) hospitalized in the department of otorhinolaryngology of the Morozovskaya Children’s City Clinical Hospital with rhinogenic orbital complications For the period from 01.01.2019 to 31.06.2024 was carried out.

RESULTS

Non purulent orbital complications of sinusitis(I and II stages according to Chandler classification) were diagnosed in 48 patients, purulent (II and III according to J. Chandler classification) in 26 patients. The main complaints on admission to the hospital were: hyperemia and eyelid edema (100%), fever (78.3%), nasal congestion only in 58.1%. The peculiarities of the clinical picture, when nasal symptoms may be absent or appear later than orbital symptoms, are the main reason why children are initially observed on an outpatient basis by other specialists (pediatrician, allergist, ophthalmologist) and were seen by a specialized specialist later.

CONCLUSION

Orbital complications of acute sinusitis in children continue to remain high and account for up to 13.1% of hospitalized children with acute sinusitis. Considering the advantages of endoscopic rhinosurgery, we perform endoscopic endonasal sinusotomy and orbitotomy for purulent complications of acute sinusitis, taking into account the age-specific features of ONP in children. The effectiveness of conservative therapy in non-purulent orbital complications is 75%.

Keywords:

orbital complications of sinusitis
orbital abscess
endoscopic sinusotomy
endoscopic orbitotomy
pediatric age
acute sinusitis

Authors:

Radzhabov R.M.

Pirogov Russian National Research Medical University;
Morozovskaya Children’s City Clinical Hospital

Polunin M.M.

Pirogov Russian National Research Medical University;
Morozovskaya Children’s City Clinical Hospital

Radtsig E.Yu.

Pirogov Russian National Research Medical University

Soldatskiy Yu.L.

Morozovskaya Children’s City Clinical Hospital

Edgem S.R.

Morozovskaya Children’s City Clinical Hospital

Denisova O.A.

Morozovskaya Children’s City Clinical Hospital

Poliakov A.A.

Morozovskaya Children’s City Clinical Hospital

Svirchevskiy I.I.

Pirogov Russian National Research Medical University;
Morozovskaya Children’s City Clinical Hospital

Received:

03.03.2025

Accepted:

15.04.2025

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