Increasing Incidence of Orbital Complications of Acute Rhinosinusitis in the Post Coronavirus Disease 2019 Era: A Tertiary Referral Center Experience

Year 2024, Volume: 7 Issue: 3, 81 - 84, 10.12.2024

Yasser Khafagy Waleed Moneir Mohammed Abdelbadie Salem Weam Mohammed Ibrahim Hisham Atef Ebada

Abstract

Objective: The aim of this study was to analyze the epidemiology, presentations, management, and outcomes of
patients with orbital complications of acute bacterial rhinosinusitis in the post coronavirus disease 2019 (COVID-19)
era.
Methods: This study included 34 patients with orbital complications of acute bacterial rhinosinusitis who were man-
aged at our tertiary referral institute during 2.5 years (February 2021-August 2023). The treatment plan was tailored for
every patient according to the disease extension.
Results: Twenty-eight out of 34 patients (73.5%) in this series required surgical treatment. Six patients with a diag-
nosis of pre-septal cellulitis did not undergo surgery. The surgical approach was endoscopic in 21 patients and com-
bined endoscopic with external approaches in the remaining 3 cases. Prognosis and outcomes were excellent, where
vision improved and orbital swelling resolved in all patients.
Conclusion: Orbital complications of acute bacterial rhinosinusitis are becoming increasingly common at our cen-
ter in the post-COVID-19 era, although the precise reason for this temporal trend is unclear. Coronavirus disease
2019-related immunological drift and/or concurrent immune suppression may have a role.

Keywords

Acute bacterial sinusitis , rhinosinusitis , COVID-19 , orbital complications , preseptal cellulitis , subperiosteal abscess

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