Factors that prolong the duration of recovery in acute rhinosinusitis with orbital complications

Abstract

Background: Regarding prognostic factors of acute rhinosinusitis (ARS) with orbital complications, there are few studies including adult cases.

Objectives: The present study aims to delineate prognostic factors of ARS with orbital complications.

Material and 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: 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: The present study suggested that ARS with orbital complications may have prolonged clinical course in adults.

背景：关于带眼窝并发症的急性鼻窦炎（ARS）的预后因素, 对成人病例的研究很少。

目的：本研究旨在描述带眼眶并发症的ARS的预后因素。

材料与方法：回顾性分析21例带眼眶并发症的ARS的临床资料（6例儿童, 15例成人）。将恢复时间定义为从最初诊断到局部病症及所有症状完全消失的时间。术后囊肿或真菌病引起的眼眶并发症不在研究之列。

结果：二十一例患者中有男性11例、女性10例。钱德勒分类法显示I组4例, II组8例, III组9例。6名儿科患者中无一例需要手术治疗, 而5名成人患者（23.8%）接受了手术治疗。平均恢复期为8.1天。在单因素分析中, 成年患者（p < .01）和钱德勒分类组II和III的患者（p = .019）的恢复时间显著较长。在多变量分析中, 成人患者的恢复时间明显长于儿童患者（P = .027）。

结论和意义：本研究提示带眼眶并发症的 ARS成人患者可能具有较长的临床病程。

Keywords:

• Acute rhinosinusitis
• orbital complications
• Chandler’s classification
• the duration of recovery
• adult patients

Disclosure statement

No potential conflict of interest was reported by the authors.