Orbital cellulitis induced by unhealed sinusitis

Many children are prone to sinusitis caused by colds. If they are not cured properly, bacteria may invade the adjacent eyes and induce cellulitis in the orbit. As a result, a primary school boy's eyes are swollen and almost hurt his eye function. Patients with sinusitis should be careful to induce cellulitis in orbit if they are not treated in time or incompletely. (Photo/Huang Zhiwen)

Wang Baizhe, an otorhinolaryngologist at MacKay Hospital, said that the boy had a cold and was later diagnosed with sinusitis in the clinic, so he was treated with antibiotics, but his symptoms did not improve after taking the medicine. As a result, a few days later, his parents found that his eyes were protruding and red and swollen, and he was rushed to the ophthalmology department. The doctor judged that it was cellulitis in the orbit caused by sinusitis, so he was referred to the otorhinolaryngology department for sinus abscess drainage.

Dr. Wang Baizhe pointed out that the main cause of sinusitis is upper respiratory tract infection such as cold, which makes the opening of sinus blocked and the catharsis function worse. If there are bacteria in it, it can't be discharged, leading to inflammation and suppuration, and the symptom is yellow-green thick nose.

Because the sinuses are very close to the passages of eyes and ears, patients with sinusitis are prone to acute otitis media if they are not treated in time or incompletely. A few people, like boys, invaded the thin inner orbital bone wall and induced cellulitis in the orbit.

After acute sinusitis is usually treated with antibiotics, the function of sinus can be restored. However, Dr. Wang Baizhe reminded that even if the political symptoms are improved, it is recommended to use antibiotics for 1 to 14 days to completely treat sinusitis, otherwise if sinusitis recurs, it may develop into chronic sinusitis in the future, and at this time, it is impossible to use drugs alone, but surgery is necessary.