Chronic Rhinosinusitis and Paranasal Cavity Trauma in Children (Orbital Blow-Out Fractures)

Follow-up for complications in 43 child patients who underwent radical nasal surgery for rhinosinusitis revealed no cases of postoperative deformity of the face or impaired dental development, but there was more than 16.7% incidence of postoperative manifestation of cysts of the cheek. For 115 sides of 63 patients who had undergone endoscopic sinus surgery and showed a good postoperative outcome, it was found that long-term follow-up observation lasting from less than half a year to more than 3 years had been necessary. In addition, the course was found to be good in many cases when the age at the time of the final observation was 15 years or more. Therefore, postoperative observation of patients should be carried out at least until the patient is 15 years of age, and the duration of observation must be at least 3 years. For patients with a complication of nasal allergy, good results were obtained when conchotomy was performed with a CO2 laser. Orbital blow-out fractures in children showed an extremely high percentage of fracture of the inferior wall of the orbita. Linear fractures were also observed. It was surmised that, even in children, the best method for surgical correction of this fracture is a maxillary sinus approach using an endoscope, rather than a transnasal approach.