Orbital complications secondary to acute sinusitis– A 10 years retrospective review

Yıl 2014, Cilt: 19 Sayı: 3, 130 - 136, 06.01.2015

Eyzawiah Hassan Balwant Singh Gendeh Salina Hussain Faizah Mat Zin Mohd Zaki Faizah

Öz

Abstract

Introduction: Orbital complication may accompany acute sinusitis in all age, commonly preseptal or orbital cellulitis.

Aim: To evaluate the clinical presentation, management, and outcome of orbital complications of sinusitis in patients treated at our institution.

Methods: A case study of retrospective review of 10 patients with orbital complications secondary to acute sinusitis was conducted in our centre over a 10-years period. The clinical presentation, relevant investigations, management and outcome were analysed.

Results: Most of the patients were children. The most common diagnosis was subperiosteal abcess (SPOA) in five patients (50%), followed by two cases each of preseptal cellulitis, and orbital cellulitis and one of orbital abscess. CT scan plays a major role in diagnosis as well as monitoring the disease. Surgical drainage is recommended in managing orbital abcess, but we highlight one case of a small orbital abscess which was successfully managed with conservative.

Conclusion: The clinical examination alone is not always helpful and therefore a CT scan is useful to diagnose and monitor the extent of the intraorbital infection. Medical treatment has an important role not only in preseptal and orbital cellulitis, but also in SPOA and small orbital abcess.

Anahtar Kelimeler

Orbital cellulitis, paranasal sinus disease, sinusitis, endoscopy

Kaynakça

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