अमूर्त

Acute Exteriorized Ethmoiditis of the Child: About 23 Cases Diagnosis and Management

Goueta A, Oubian S, Bakyono KE, Traore OL, Bambara C, Gyebre YMC, Ouoba K

Objective: To describe the diagnostic and therapeutic characteristics of acute exteriorized ethmoiditis of the child.

Patients and Methods: This was a retrospective study conducted from January 2006 to December 2015 in the ENT service of the Yalgado Ouedraogo, teaching hospital. All the files of children of under 15 year hospitalized for acute exteriorized ethmoiditis were included.

Result: The study concerned 23 patients, including 17 boys and 06 girls. The average age was 11 years. All the children presented immediate antecedents of nasopharyngitis. The average time for consultation was 14 days. The painful orbital tumefaction was the main reason for consultation. The clinical examination allowed to find an infectious syndrome in 15 cases, associated at a rhinologic syndrome that was isolated in 10 cases. Computing related many sinutis on 17 cases and 2 cases of frontal sino-dural empyema. The exteriorized ethmoiditis was bilateral in 8 cases. According to Chandler's classification, this was mainly stage II in 10 cases, and III in 6 cases. The streptococci were isolated in the most cases. The treatment was only medical in 14 cases. In 9 cases this was an ethmoidectomy associated with the surgical drainage of the collected orbital cellulitis. The antibiotic treatment was in the most cases constituted at the association of ceftriaxone and metronidazole, parenterally over an average duration of 08 days. The evolution was favorable in 20 patients. The sequelae occurred in 03 patients at type of definitive blindness, a decrease of the visual acuity. No deaths were recorded.

Conclusion: The exteriorised acute ethmoiditis is a relatively common complication of rhinopharyngitis in children. It's a real emergency diagnostic and therapeutic. The prevention remains the correct management of acute rhinopharyngitis.