An Approach to Orbital Complications in Rhinosinusitis

Year 2019, Volume: 9 Issue: 3, 180 - 184, 20.12.2019

Serkan Çayır , Serkan Kayabaşı

https://doi.org/10.32448/entupdates.576655

Abstract

Objective: Whilst orbital
complications arising from acute rhinosinusitis are infrequent in contemporary
practice, the spread of infection orbitally or intracranially can result in
severe complications and a high mortality. This study aims to review
cases of orbital complications arising from rhinosinusitis in the light of the
published literature on the topic.

Methods: Eight cases of individuals presenting to a particular
clinic with the development of orbital complications following sinusitis within
the previous four years were included in the study. The characteristic features
of these cases in terms of diagnosis, treatment and follow-up were
investigated.

Results: The mean age of all cases was 29.5 years. In
three cases, orbital abscess, and in five cases, preseptal cellulitis, were
observed as complications. Both surgical and medical treatment was administered
in three cases, while medical treatment alone was used for five cases.

Conclusion: The region where the
complications of rhinosinusitis are most commonly observed is the orbit, due to
its proximity to the paranasal sinuses, especially the ethmoid cells. Where
limitation of eye movements, proptosis, and a decrease in vision exists
alongside an orbital abscess which itself has developed as a complication of
sinusitis, surgical treatment is the most important option to consider to
prevent complications. 

Keywords

Orbit, sinusitis, orbital cellulitis, abscess

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