Abstract

Objectives: This study aimed to assess the clinical characteristics and outcomes of pediatric patients with orbital complications secondary to acute rhinosinusitis, categorized according to the Chandler classification.
Patients and Methods: This retrospective study included 27 pediatric patients diagnosed with orbital complications between January 2020 and June 2025 at Ümraniye Training and Research Hospital. Patients were categorized according to the Chandler classification, and demographic characteristics, clinical presentation, radiological findings, laboratory parameters, treatment modalities, and outcomes were evaluated.
Results: A total of 27 pediatric patients (18 males, 9 females; mean age: 7.9 ± 4.66 years; range, 2 to 17 years) who were diagnosed with orbital complications secondary to acute rhinosinusitis were included and divided into three groups according to the Chandler classification: the Chandler Stage I group (preseptal cellulitis; n = 9), the Chandler Stage II group (orbital cellulitis; n = 13), and the Chandler Stage III group (subperiosteal abscess; n = 5). Orbital cellulitis was the most frequently observed complication (48%). Patients with subperiosteal abscess demonstrated significantly longer hospital stays and follow-up periods, as well as higher leukocyte counts. Surgical drainage was required in patients with inadequate response to medical therapy or progressive visual involvement.
Conclusion: Our findings underscore the critical importance of early diagnosis, close monitoring, and the prompt initiation of appropriate treatment in preventing severe orbital and visual morbidity among pediatric patients with orbital complications secondary to acute rhinosinusitis.

Citation: Cırık AA, Çubuk H, Esen Yiğit Y. Pediatric orbital complications secondary to acute rhinosinusitis: Clinical characteristics and treatment outcomes. Praxis Otorhinolaryngol 2026;14(3):172-178. https://doi.org/10.5606/kbbu.2026.46.