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Journal articles on the topic 'Orbital complications of sinusitis'

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Author: Grafiati

Published: 10 December 2022

Last updated: 28 January 2023

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1

Radovani, Pjerin, Dritan Vasili, Mirela Xhelili, and Julian Dervishi. "Orbital Complications of Sinusitis." Balkan Medical Journal 30, no. 2 (July 1, 2013): 151–54. http://dx.doi.org/10.5152/balkanmedj.2013.8005.

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2

Ognibene, Roberto Z., Richard L. Voegels, Rogerio L. Bensadon, and Ossamu Butugan. "Complications of Sinusitis." American Journal of Rhinology 8, no. 4 (July 1994): 175–80. http://dx.doi.org/10.2500/105065894781874331.

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From 1982 to 1992, 65 patients presented to our service with sinusitis complications. In this report we will analyze our clinical material with emphasis on the type of complications, clinical presentations, and radiologic findings. The most common complication was orbital (83.1%), followed by intracranial (18.5%) and bony (7.7%). There was a higher incidence of complications in the second decade of life (44.6%), and 83.2% of the cases occurred in the third decade of life. The main complaints were orbital swelling (63.1%), fever (33.8%), headache (32.3%), and rhinorrhea (21.5%). The predominant signs were eyelid swelling (73.8%) and rhinorrhea (64.6%). The most frequent radiologic findings (x-ray, CT, MRI) were pansinusitis (40%), maxilloethmoidal sinusitis (24.6%), and maxillary sinusitis (13.8%). All patients were treated with intravenous antibiotics, and surgery was performed in 50.8% of the patients. Almost all patients (98.5%) had a good outcome, and one patient died (cavernous sinus thrombosis). Complicated sinusitis can be a life-threatening condition. CT and MRI are a great aid in the diagnosis of these complications.

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3

Otmani, Nada, Serheir Zineb, Housbane Sami, Oudidi Abdellatif, and Bennani Othmani Mohamed. "Oculo Orbital Complications of Sinusitis." Open Journal of Ophthalmology 06, no. 01 (2016): 34–42. http://dx.doi.org/10.4236/ojoph.2016.61005.

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4

Campbell, Adam P., Regan W. Bergmark, and Ralph Metson. "Orbital complications of acute sinusitis." Operative Techniques in Otolaryngology-Head and Neck Surgery 28, no. 4 (December 2017): 213–19. http://dx.doi.org/10.1016/j.otot.2017.08.005.

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5

Peña, Maria T., Diego Preciado, Michael Orestes, and Sukgi Choi. "Orbital Complications of Acute Sinusitis." JAMA Otolaryngology–Head & Neck Surgery 139, no. 3 (March 1, 2013): 223. http://dx.doi.org/10.1001/jamaoto.2013.1703.

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6

Kerrouche, Kheira, and Brahim Fergoug. "Oculo-orbital complications of acute sinusitis in children. Report of 3 cases." Batna Journal of Medical Sciences (BJMS) 7, no. 1 (May 2, 2020): 67–70. http://dx.doi.org/10.48087/bjmscr.2020.7118.

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Introduction. Les complications oculo-orbitaires des sinusites chez l'enfant sont fréquentes et peuvent engager le pronostic visuel et même vital. Leur prise en charge doit être urgente, médicale et parfois chirurgicale. Le but de ce travail est d’étudier à travers trois observations, les différents tableaux cliniques et para cliniques des complications oculo-orbitaires des sinusites chez l’enfant ainsi que leur traitement. Patients & méthodes. Nous rapportons les observations de trois enfants, deux filles et un garçon, âgés entre 6 et 12 ans, hospitalisés dans le cadre de l’urgence. Deux patients présentaient un syndrome inflammatoire orbitaire unilatéral avec exophtalmie importante et le 3ème cas un état de cécité avec céphalée et vomissement chez qui l’examen ophtalmologique a révélé une névrite optique bilatérale œdémateuse. L’imagerie (scanner et IRM) a montré une sinusite antérieure dans les deux premiers cas et une sinusite sphénoïdale isolée dans le dernier cas. L’examen ORL a confirmé la sinusite dans les deux premiers cas et était normal dans le dernier cas. Tous les patients ont bénéficié d’une tri- antibiothérapie générale associée secondairement à une corticothérapie systémique. Un patient a nécessité un drainage chirurgical. Résultats. L’évolution à trois mois était bonne pour les trois patients : réduction presque complète de l’exophtalmie et récupération de l’acuité visuelle chez le dernier cas. Discussion et conclusion. Les complications orbitaires des sinusites sont assez fréquentes. Chez l’enfant, la complication de l’atteinte des sinus antérieurs (ethmoïdal et frontal) sont responsables d’un tableau clinique bruyant avec une cellulite orbitaire. Cependant, la complication de la sinusite sphénoïdale est rare mais grave, ses manifestations cliniques sont pauvres et trompeuses. Le diagnostic et le traitement doivent être précoces pour éviter la complication redoutée qui est la thrombophlébite du sinus caverneux.

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7

McIntosh, D., and M. Mahadevan. "Acute orbital complications of sinusitis: the benefits of magnetic resonance imaging." Journal of Laryngology & Otology 122, no. 3 (May 1, 2007): 324–26. http://dx.doi.org/10.1017/s0022215107007980.

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AbstractIntroduction:Acute sinusitis is a relatively common condition, which usually responds to medical therapy. In most cases, there are no sequelae or complications subsequent to this infection. However, like many acute illnesses, there are well documented complications of acute sinusitis, and in particular these include peri-orbital and intracranial spread.Objective:The purpose of this paper is to highlight the importance of vigilance regarding both peri-orbital involvement of sinusitis and the limitations of imaging techniques such as computed tomography. An illustrative case is presented to demonstrate this.Conclusion:Magnetic resonance imaging is a valuable modality in assessing complex presentations of peri-orbital complications of acute sinusitis.

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8

Sobol, Steven E., Julie Marchand, Ted L. Tewfik, John J. Manoukian, and Melvin D. Schloss. "Orbital Complications of Sinusitis in Children." Journal of Otolaryngology 31, no. 03 (2002): 131. http://dx.doi.org/10.2310/7070.2002.10979.

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9

Mcintosh, D., and M. Mahadevan. "Failure of contrast enhanced computed tomography scans to identify an orbital abscess. The benefit of magnetic resonance imaging." Journal of Laryngology & Otology 122, no. 6 (July 19, 2007): 639–40. http://dx.doi.org/10.1017/s0022215107000102.

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AbstractIntroduction:Acute sinusitis is a relatively common condition, which usually responds to medical therapy. In most cases, there are no sequelae or complications subsequent to this infection. However, like many acute illnesses, there are well documented complications of acute sinusitis, and in particular these include peri-orbital and intracranial spread.Objective:The purpose of this paper is to highlight the importance of vigilance in peri-orbital involvement and the limitations of imaging techniques, such as computed tomography scanning. An illustrative case is presented to demonstrate this.Conclusion:Magnetic resonance imaging scanning is a valuable modality in assessing complex presentations of peri-orbital complications of acute sinusitis.

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10

Mortimore, S., and P. J. Wormald. "The Groote Schuur hospital classification of the orbital complications of sinusitis." Journal of Laryngology & Otology 111, no. 8 (August 1997): 719–23. http://dx.doi.org/10.1017/s0022215100138459.

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AbstractThe complications of sinusitis have been well described. The most common classifications used for orbital complications have been that of Chandler et al. (1970) and Moloney et al. (1987). With the ready availability of high-resolution computed tomography (CT) scanners, limitations of these classifications have become apparent. The aims of this study were to determine the relative frequency of the various complications associated with acute sinusitis, to determine which groups of sinuses were most frequently involved and to correlate the orbital signs with a new proposed classification of orbital complications. Over a five-year period, 87 consecutive patients were admitted with acute sinusitis. Sixty-three patients (72.4 per cent) had one or more complications. When orbital complications were classified under the proposed classification, all patients with proptosis and/or decreased eye movement had post-septal infection. Visual impairment occurred only in the post-septal group. Most complications had a combination of sinus involvement with the maxillary/ethmoid/frontal combination being the most common. The authors propose a modification of Moloney's classification for orbital complications of acute sinusitis that allows a clear differentiation between pre- and post-septal infection and a radiological differentiation to be made between cellulitis/phlegmon and abscess formation. The latter is of importance when a decision is made on whether surgical intervention is appropriate or not.

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11

Oxford, Lance E., and John McClay. "Complications of Acute Sinusitis in Children." Otolaryngology–Head and Neck Surgery 133, no. 1 (July 2005): 32–37. http://dx.doi.org/10.1016/j.otohns.2005.03.020.

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OBJECTIVE: To review the demographic, microbiologic, and outcome data for children with complications of acute sinusitis. STUDY DESIGN AND SETTING: Retrospective review of children admitted with complications of acute sinusitis from January 1995 to July 2002 to a tertiary care children's hospital. RESULTS: One hundred four patients were reviewed with the following complications: orbital cellullitis (51), orbital abscesses (44), epidural empyemas (7), subdural empyemas (6), intracerebral abscesses (2), meningitis (2), cavernous sinus thrombosis (1), and Pott's puffy tumors (3). Sixty-six percent were males ( P < 0.001), and 64.4% presented from November to March ( P < 0.001). Patients with isolated orbital complications were younger than patients with intracranial complications (mean, 6.5 versus 12.3 years), had a shorter stay (mean, 4.2 versus 16.6 days), and had shorter duration of symptoms (mean, 5.4 versus 14.3 days; all P < 0.0001). Complete resolution was documented for 54/55 patients with restricted ocular motility, 7/8 with visual loss, 3/3 patients with a nonreactive pupil, 7/7 with neurological deficits, and 2/4 with seizures. The most common organism isolated was Streptococcus milleri (11/36 patients with surgical cultures). No mortalities occurred, and persistent morbidity occurred in 4 patients (3.8%). CONCLUSIONS: Despite significant deficits on presentation, permanent morbidity was low. Streptococcus milleri is a common pathogen with complications of sinusitis in children.

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12

Takeuchi, Kazuhiko, Yukiko Miyamoto, Yoshinori Imanishi, Atsushi Yuta, and Yuichi Majima. "Cases of Paranasal Sinusitis with Orbital Complications." Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology) 46, no. 4 (2007): 319–24. http://dx.doi.org/10.7248/jjrhi1982.46.4_319.

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13

Hoxworth, Joseph M., and Christine M. Glastonbury. "Orbital and Intracranial Complications of Acute Sinusitis." Neuroimaging Clinics of North America 20, no. 4 (November 2010): 511–26. http://dx.doi.org/10.1016/j.nic.2010.07.004.

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14

Patt, Bradford S., and Scott C. Manning. "Blindness Resulting from Orbital Complications of Sinusitis." Otolaryngology–Head and Neck Surgery 104, no. 6 (June 1991): 789–95. http://dx.doi.org/10.1177/019459989110400604.

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15

Sharma, Saurabh, and Gary D. Josephson. "Orbital Complications of Acute Sinusitis in Infants." JAMA Otolaryngology–Head & Neck Surgery 140, no. 11 (November 1, 2014): 1070. http://dx.doi.org/10.1001/jamaoto.2014.2326.

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16

Kaneko, Kengo, Kazuhito Satowa, Osamu Kubota, Tadashi Hida, Haruto Mishima, and Yasuhiro Kase. "Orbital Complication of Sinusitis." Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology) 42, no. 2 (2003): 130–37. http://dx.doi.org/10.7248/jjrhi1982.42.2_130.

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17

Udayasankar, Unni, and Blair Winegar. "Imaging of Pediatric Paranasal Sinus and Orbital Infections." Journal of Pediatric Neurology 15, no. 05 (July 13, 2017): 251–62. http://dx.doi.org/10.1055/s-0037-1604101.

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AbstractUpper respiratory tract infections are the most frequent outpatient disease processes treated by the pediatricians. Although upper respiratory tract infections are typically self-limited viral illnesses, a subset of children will develop acute bacterial sinusitis, which is differentiated from the former viral nasopharyngitis by prolonged illness, worsening course, or severe onset of symptoms. Although diagnostic imaging is not indicated in the differentiation of a viral upper respiratory tract infection from acute bacterial sinusitis, contrast-enhanced computed tomography (CT) or magnetic resonance imaging (MRI) are critical in the detection and classification of potentially serious complications of acute bacterial sinusitis resulting from intraorbital or intracranial spread of infection. Orbital infections are the most frequently associated complications of paranasal sinus inflammatory disease given the proximity of the paranasal sinuses and orbits. Imaging is essential in differentiating preseptal cellulitis from orbital cellulitis and guiding appropriate therapy. Cross-sectional imaging is also important in the characterization of noninvasive fungal sinusitis, forms of chronic sinusitis in the setting of an intact immune system, and invasive fungal sinusitis, an acute fulminant sinusitis induced by angioinvasive fungi in immunocompromised children requiring emergent surgical management.

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18

IINUMA, TOSHITAKA. "Orbital Complications of Sinusitis. Managements for Complicated Cases." Practica Oto-Rhino-Laryngologica 92, no. 6 (1999): 688–89. http://dx.doi.org/10.5631/jibirin.92.688.

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19

Tadokoro, Hiroaki, Hisaki Fukushima, Yukiyoshi Hyo, and Tamotsu Harada. "A Pediatric Case of Orbital Complications from Sinusitis." Practica oto-rhino-laryngologica. Suppl. 149 (2017): 38–41. http://dx.doi.org/10.5631/jibirinsuppl.149.38.

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20

Tatsutomi, Shinji, Toshiaki Tsukatani, Takaki Miwa, and Mitsuru Furukawa. "Five cases with orbital complications from acute sinusitis." Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology) 44, no. 4 (2005): 302–8. http://dx.doi.org/10.7248/jjrhi1982.44.4_302.

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21

Popescu, G. A., L. C. Gavriliu, and C. Gubavu. "PP-033 Orbital complications of acute bacterial sinusitis." International Journal of Infectious Diseases 14 (July 2010): S34—S35. http://dx.doi.org/10.1016/s1201-9712(10)60101-4.

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22

Sulek, Marcelle. "Orbital complications of sinusitis in the pediatric population." Operative Techniques in Otolaryngology-Head and Neck Surgery 5, no. 1 (March 1994): 50–52. http://dx.doi.org/10.1016/1043-1810(94)90025-6.

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23

Davis, J. P., and M. P. Stearns. "Orbital complications of sinusitis: avoid delays in diagnosis." Postgraduate Medical Journal 70, no. 820 (February 1, 1994): 108–10. http://dx.doi.org/10.1136/pgmj.70.820.108.

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24

Chaiyasate, Saisawat, Supranee Fooanant, Niramon Navacharoen, Kannika Roongrotwattanasiri, Pongsakorn Tantilipikorn, and Jayanton Patumanond. "The Complications of Sinusitis in a Tertiary Care Hospital: Types, Patient Characteristics, and Outcomes." International Journal of Otolaryngology 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/709302.

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Objective.To study the complications of sinusitis in a referral hospital and the outcome of the treatment according to the type of complication.Methods.A retrospective study was performed on patients with sinusitis who were admitted to a referral hospital from 2003 to 2012. The data for the sinusitis patients who had complications were reviewed.Results and Discussion.Eighty-five patients were included in the study, of whom 50 were male (58.8%). Fourteen of the cases were less than 15 years old, and 27 of the patients (31.7%) had more than one type of complication. The most common complication was of the orbital type (100% in the children, 38% in the adults). After the treatment, all of the children and 45 of the adults (63.4%) recovered, eight of the adult patients died (11.3%), and 18 of the adults were cured with morbidity (25.3%). The patients with more numerous complications had poorer outcomes. When the types of complications were compared (adjusted for age, gender, and comorbidities), the intracranial complication was the only one that was statistically significant for mortality.Conclusion.The outcomes of the treatment depended on the number and type of complications, with the poorest results achieved in cases of intracranial complications.

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25

Swift, A. C., and G. Charlton. "Sinusitis and the acute orbit in children." Journal of Laryngology & Otology 104, no. 3 (March 1990): 213–16. http://dx.doi.org/10.1017/s0022215100112319.

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AbstractAcute orbital infection is an uncommon condition which is often secondary to acute sinusitis. Although it can present in any age group it is most prevalent in children and may cause impaired vision, blindness, intracranial complications and death. This paper documents the experience at the Royal Liverpool Childrens Hospital, Alder Hey, from 1973 to 1989. Clinical details were recorded retrospectively from the hospital case notes. Sixty-eight children had orbital sepsis of whom 30 had associated acute sinusitis. Of these 30 children, orbital sepsis was always unilateral with a preference for the left side; ten had diplopia of whom four had a sub-periosteal abscess which was subsequently drained. There were no serious complications although two children had diplopia for two to three months.

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26

Mihai, Gafencu, Dr Doros Gabriela, Doros Caius, Nilima R. Kundnani, and Boruga Ovidiu. "Left Extrachoanal Orbital Abscess and Orbital Cellulitis as A Complication of Ethmoido-Maxillary Sinusitis." Indian Journal of Applied Research 4, no. 2 (October 2011): 17–18. http://dx.doi.org/10.15373/2249555x/feb2014/122.

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27

Stojanovic, J., N. Ilic, B. Belic, Lj Zivic, P. D. Stankovic, Lj V. Erdevicki, and S. Jovanovic. "Orbital complications of rhinosinusitis." Acta chirurgica Iugoslavica 56, no. 3 (2009): 121–25. http://dx.doi.org/10.2298/aci0903121s.

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Introduction: Orbital complications were observed in 53 patients (1.35%, n=53/3912 of all treated patients; 11.04% , n= 53/480 of hospitalized patients). Complications in the orbit can occur in 3 - 5% of adults with the inflammatory condition of sinuses, while the percentage in children ranges from 0.5 - 8%. Objective: The objective of our work was to determine the frequency of the occurrence of orbital complications of the rhinosinal inflammatory origin in a group of adults and children. Method: The retrospective analysis of patients treated of rhinosinusitis in the period 1992 to 2007, in the Clinical Center in Kragujevac. Results: In the period of 15 years, a total number of 3912 patients were treated for inflammatory conditions of paranasal cavities. Orbital complications were found in 53 patients (1.35%, n=53/3912 of all treated patients). The number of children showing orbital complications caused by rhinosinusitis was 0.79%, while the number of adults was 1,88%. Acute rhinosinusitis in children was manifested as orbital complication in 14 patients (n=14/15, 93.33%), while 33 adults (n=33/38, 86.84%) had the exarcerbation of the chronic rhinosinusitis at the time of diagnosis of orbital complication. 80% of examined children had the maxillary and ethmoid sinus infected (n=12/15), while the adults most often had polysinusitis (n=22/38, 57.89%). In the juvenile age the most frequent complication was the cellulitis of the orbite (n=7/15 , 46.66%), while in the adults it was the subperiostal absces (n=14/38, 36.84%). The adults were mostly treated surgically (n=31/38, 81.58%), while the children were treated by using conservative treatment (n=13/15, 86.67%). There were no cases of mortality. Conclusion: The prevention of complications is based on the adequate and timely treatment of acute sinusitis in children, as well as the curative treatment of chronical processes in adults.

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28

Younis, Ramzi T., Rande H. Lazar, and Vinod K. Anand. "Intracranial Complications of Sinusitis: A 15-Year Review of 39 Cases." Ear, Nose & Throat Journal 81, no. 9 (September 2002): 636–44. http://dx.doi.org/10.1177/014556130208100911.

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Despite improvements in antibiotic therapies and surgical techniques, sinusitis still carries a risk of serious and potentially fatal complications. We examined the charts of 82 patients who had been admitted to the University of Mississippi Medical Center between Jan. 1, 1985, and Dec. 31, 1999, for treatment of complications of sinusitis. Of these 82 patients, 43 had orbital complications and 39 had intracranial complications. In this article, we describe our findings in those patients who had intracranial complications (our findings in patients with orbital complications will be reported in a future article). The most common intracranial complication was meningitis; others were epidural abscess, subdural abscess, intracerebral abscess, Pott's puffy tumor, and superior sagittal sinus thrombosis. Most patients with meningitis were treated with drug therapy only; patients with abscesses were generally treated with intravenous antibiotics and drainage of the affected sinus and the abscess. Advancements in antibiotic therapy, endoscopic surgery, imaging studies, and computer-assisted surgery have helped improve outcomes. Management of these patients should be undertaken immediately and is best achieved via a multidisciplinary approach, involving the otolaryngologist, neurosurgeon, radiologist, anesthesiologist, infection disease specialist, pediatrician, internist, and others.

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29

Gierlotka, Agata, Marin Michow, and Bartosz Macionczyk. "The case of sinogenic subperiosteal abscess without symptoms of sinusitis." Polski Przegląd Otorynolaryngologiczny 8, no. 2 (June 30, 2019): 57–60. http://dx.doi.org/10.5604/01.3001.0013.2051.

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Orbital infection occurs when pathogens pass from an infected sinus into the orbit. The inflammation is spreading onto the orbital structures from the surrounding tissues mainly from ethmoidal sinuses due to its specific anatomical conditions. The orbital complications are preseptal cellulitis, orbital cellulitis, subperiosteal abscess, orbital abscess, and intracranial infections. The diagnosis of subperiosteal orbital abscess is based mainly on clinical presentation. The symptoms depends on which sinus is affected. Orbital symptoms include periorbital swelling, proptosis, ophthalmoplegia, chemosis, and optic nerve compression. Computer tomography is mandatory. Early diagnosis and appropriate treatment can prevent from permanent vision loss and intracranial complication. The study discusses the course of the disease of a 25-year-old woman who was admitted to the Emergency Department due to inflammatory eyelid oedema and proptosis for 3 days. No symptoms of sinusitis were noted. The CT scans established diagnosis - subperiosteal orbital abscess. The patient was treated with broad-spectrum antibiotics and functional endoscopic sinus surgery. Her treatment and recovery were uneventful. In follow-up nighter ophthalmological nor otorhinolaryngological complains were noted.

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30

Pullarat, Ahamed Nauphal, Mohamed Faisal C. K., Muraleedhran P. Nampoothiri, and Suma R. "A descriptive study of the patients with orbital complication of acute and chronic sinusitis." International Journal of Otorhinolaryngology and Head and Neck Surgery 4, no. 4 (June 23, 2018): 990. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20182495.

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<p class="abstract"><strong>Background:</strong> This is a descriptive study of all of the patients with orbital complication of acute and chronic sinusitis presented in ENT and Ophthalmology department, Government Medical College Calicut, Kerala from January 2013 to September 2014. The purpose of this study is to evaluate clinical and radiological presentation, outcome of treatment and postsurgical complications of diagnosed case of orbital complications of acute and chronic sinusitis.</p><p class="abstract"><strong>Methods:</strong> All the patients were subjected to thorough clinical examination, ophthalmological evaluation and radiological evaluation. Computerized tomography of paranasal sinuses both axial and coronal planes, MRI in selected cases, histopathology, fungal culture, a semistructured proforma are the study tools in this study. All the patients in this study received appropriate medical and surgical treatment and done a follow up evaluation at first month and at 3 months. </p><p class="abstract"><strong>Results:</strong> Preseptal cellulitis is the most common complication in our study. Fungal sinusitis due to uncontrolled diabetes mellitus is the most common condition causing orbital complication in our study.</p><p class="abstract"><strong>Conclusions:</strong> Strict diabetic control, appropriate surgical and medical management and a vigilant follow up resulted in good outcome.</p>

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31

Younis, Ramzi T., Rande H. Lazar, Andres Bustillo, and Vinod K. Anand. "Orbital Infection as a Complication of Sinusitis: Are Diagnostic and Treatment Trends Changing?" Ear, Nose & Throat Journal 81, no. 11 (November 2002): 771–75. http://dx.doi.org/10.1177/014556130208101110.

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Orbital infection has long been the most common complication of sinusitis. In light of our increased knowledge of sinusitis, improved diagnostic tools, and new pharmacologic and surgical treatments, we investigated whether trends in diagnosis and treatment are changing. We reviewed the charts of all 43 patients who had been referred to our institution with orbital complications of sinusitis between Jan. 1, 1985, and Dec. 31, 1999. Nine of the 43 patients had been diagnosed between Jan. 1, 1985, and Dec. 31, 1990 (mean: 1.5 patients/yr) and 34 had been diagnosed between Jan. 1, 1991, and Dec. 31, 1999 (mean: 3.8 patients/yr). Of the 43 patients, 27 had cellulitis and 16 had an abscess (one of the 16 had two abscesses—one subperiosteal and one supraorbital). All 17 abscesses were treated surgically. Five of the 7 abscesses operated on from 1985 through 1990 were treated via an open external approach, whereas 7 of the 10 abscesses that were operated on later were treated via an endoscopic approach. We conclude that orbital complications of sinonasal origin are being recognized more frequently than they were in the past and that endoscopy has supplanted the open external approach as the preferred method of drainage.

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32

Kim, Il Tae, and Sung Hyuk Bang. "Orbital Complication in Paranasal Sinusitis." Journal of Clinical Otolaryngology Head and Neck Surgery 3, no. 2 (November 1992): 315–22. http://dx.doi.org/10.35420/jcohns.1992.3.2.315.

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33

Kotwal, Tejas, Samantha Goh, Eishaan Bhargava, Philip Touska, and Victoria Possamai. "A Rare Case of Orbital Cellulitis with Progressive Calvarial Osteomyelitis." Global Pediatric Health 8 (January 2021): 2333794X2110421. http://dx.doi.org/10.1177/2333794x211042121.

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Orbital cellulitis is a potentially sight and life-threatening complication of acute sinusitis, and the association with osteomyelitis is rare in the era of antibiotic-use. A 13-year-old girl presented with coryzal symptoms and severe headache, with a CT head being consistent with a diagnosis of pansinusitis and orbital cellulitis with abscess formation. She proceeded to have surgical drainage through a combined endoscopic and external approach to intraorbital abscess drainage with frontal trephine. She was also diagnosed with progressive calvarial osteomyelitis involving the right frontal bone, treated with a prolonged course of intravenous antibiotics. Our case highlights the importance of a high index of suspicion for complications of sinusitis. Multimodal imaging is essential to establish the extent of infection, and a multi-disciplinary approach is integral to manage this rare complication.

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34

Asghar, Adnan, Sohail Aslam, Syed Muhammad Asad Shabbir Bukhari, Umar Ijaz, Shahid Iqbal, and Saira Latif. "EXPERIENCE OF DOING ENDOSCOPIC SINUS SURGERY FOR CHRONIC MAXILLARY SINUSITIS WITHOUT PRE-OPERATIVE CT-SCAN IN A PERIPHERAL HOSPITAL." PAFMJ 71, Suppl-3 (December 28, 2021): S534–38. http://dx.doi.org/10.51253/pafmj.v1i1.7924.

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Objective: To determine frequency of our complications of endoscopic sinus surgery without pre-operative CT-Scan and to compare this frequency with other similar studies done with the help of pre-operative CT-Scans. Study Design: Cross sectional study. Place and Duration of Study: ENT Department, Combined Military Hospital Skardu Pakistan, from Jun 2017 to Jun 2019. Methodology: Total 69 patients (116 Sides) were operated under general anesthesia by using 0 and 30 degree endoscopes to address the Maxillary sinusitis. Frequency of complications was compared to other studies by applying chi-square test for goodness of fit. The complications were also correlated to ages of patients by applying Spearman correlation analysis. Results: Mean age was 29.75 ± 10.9 years (range 15-75). Overall complications rate was 4.3% (5 out of 116 sides, 95% confidence interval 4.23-4.4). Peri-orbital ecchymosis and peri-orbital emphysema were most commonly occurring complications (4.3%). This complication rate was compared to few other studies, which proved that difference was not statistically significant. Correlation of occurrences of orbital complications with the age proved that there was no statistically significant correlation (Correlation coefficient r=-0.085, p-value 0.276). Conclusion: Isolated chronic maxillary sinusitis refractory to medical treatment can be treated by endoscopic sinus surgery without pre-operative CT-Scan.

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Firsov, P. D., A. Y. Dogalyuk, and A. I. Sabirov. "On the diagnosis and treatment of orbital complications of sinusitis." Kazan medical journal 76, no. 1 (January 15, 1995): 31–33. http://dx.doi.org/10.17816/kazmj82710.

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It is necessary to use the current possibilities of the diagnosis, namely, the computer tomography and endoscopic methods of the surgical treatment in providing service to patients with orbital complications of sinusitis.

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Mann, Wolf, Ronald G. Amedee, and Jan Maurer. "Orbital Complications of Pediatric Sinusitis: Treatment of Periorbital Abscess." American Journal of Rhinology 11, no. 2 (March 1997): 149–54. http://dx.doi.org/10.2500/105065897782537223.

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Twenty-six children requiring surgical intervention for orbital complications of acute sinusitis were treated at our institutions between 1985 and 1995. Twenty patients were successfully treated surgically utilizing endoscopic/microscopic endonasal surgery, or traditional external ethmoidectomy. However, six patients failed to respond to initial surgical attempts and ultimately required a revision. In one of these six patients the development of an intracranial abscess also necessitated a craniotomy for surgical drainage. Analysis of these six failures was performed with special attention given to the reasons for initial surgical failure and possible means for preventing revision surgeries.

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Kinis, Vefa, Musa Ozbay, Salih Bakir, Ediz Yorgancilar, Ramazan Gun, Mehmet Akdag, Muhammed Sahin, and Ismail Topcu. "Management of Orbital Complications of Sinusitis in Pediatric Patients." Journal of Craniofacial Surgery 24, no. 5 (September 2013): 1706–10. http://dx.doi.org/10.1097/scs.0b013e3182a210c6.

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Gumussoy, Murat, Omer Ugur, Ilker Burak Arslan, and Ibrahim Cukurova. "Orbital Complications of Acute Sinusitis: Evaluation, Management, and Results." Turk Otolarengoloji Arsivi/Turkish Archives of Otolaryngology 52, no. 4 (December 31, 2014): 131–38. http://dx.doi.org/10.5152/tao.2014.527.

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Teinzer, Fabian, Heinz Stammberger, and Peter Valentin Tomazic. "Transnasal Endoscopic Treatment of Orbital Complications of Acute Sinusitis." Annals of Otology, Rhinology & Laryngology 124, no. 5 (November 13, 2014): 368–73. http://dx.doi.org/10.1177/0003489414558110.

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McFadden, Edith A., B. Tucker Woodson, Bruce M. Massaro, and Robert J. Toohill. "Orbital Complications of Sinusitis in the Aspirin Triad Syndrome." Laryngoscope 106, no. 9 (September 1996): 1103–7. http://dx.doi.org/10.1097/00005537-199609000-00012.

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Shetty, Kishore, and Vinay Vaidyanathan. "Intracranial and Orbital Complications of Sinusitis: A Case Series and Review of Literature." An International Journal Clinical Rhinology 4, no. 2 (2011): 87–92. http://dx.doi.org/10.5005/jp-journals-10013-1080.

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ABSTRACT Complications of paranasal sinus infection most often involve the orbit and periorbita. Because of widespread use of antibiotics, intracranial extension of paranasal sinusitis is rarely seen today. Nevertheless, the clinician must be aware of the potential of these complications, as late recognition of this condition and delay in treatment can increase morbidity and mortality rates. An interesting case series of sinusitis with orbital and intracranial complication is presented, which was radiologically evaluated, and was managed by endoscopic sinus surgery with drainage of subdural empyema by appropriate neurosurgical technique. The radiological tools played a very important role in both assessment and timing of surgical intervention. Unparallel role of radiological investigations cannot be overemphasized. The key to successful treatment is aggressive management and the timing for surgical intervention should not be deferred. The patients made full recovery at the time of discharge.

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El-Sayed, Yousry, and Hamad Al-Muhaimeid. "Acute visual loss in association with sinusitis." Journal of Laryngology & Otology 107, no. 9 (September 1993): 840–42. http://dx.doi.org/10.1017/s0022215100124582.

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AbstractAcute visual loss may occur in association with sinusitis either as a complication of orbital cellulitis or, less frequently, as a part of the orbital apex syndrome. We describe two cases of temporary monocular visual loss caused by sinusitis. In one case the visual loss was due to orbital cellulitis; while in the other patient it was due to incompletely developed orbital apex syndrome. This later mode of presentation is called ‘partial orbital apex syndrome’ by some authors and ‘posterior orbital cellulitis’ by others.The relationship between sinusitis and blindness is discussed.

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Murumkar, Vivek S., Karthik Kulanthaivelu, Sheetal Goyal, and Shamick Biswas. "Isolated cortical vein thrombosis complicating orbital cellulitis." Asian Journal of Ophthalmology 17, no. 3 (December 31, 2020): 329–35. http://dx.doi.org/10.35119/asjoo.v17i3.816.

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Background: Orbital cellulitis is characterized by the infective inflammation of orbital structures, usually posterior to the orbital septum. Extension of infection from the paranasal sinuses is the most common etiology for orbital cellulitis. Intracranial complications of orbital cellulitis include meningitis, subdural empyema, brain abscess, and cavernous sinus thrombosis. Case presentation: A 33-year-old man presented with acute onset of foul-smelling mucopurulent nasal discharge and swelling of the left eye followed by altered sensorium. On examination of the left eye, chemosis, eyelid edema, and proptosis were present. Computed tomography (CT) of the brain revealed non-axial left proptosis with inflammatory reticulation in the intra- and extraconal fat alongside sinusitis. Magnetic resonance imaging of the brain confirmed the CT findings and additionally showed meningitis and subdural empyema along the left frontoparietal convexity with parenchymal signal changes, suggesting venous infarction in the left frontal lobe. Susceptibility weighted imaging (SWI) confirmed thrombus in the frontal polar vein on the left side, suggesting septic isolated septic cortical venous thrombosis (ICVT) as a complication of orbital cellulitis. Cerebrospinal fluid showed polymorphonuclear cell pleocytosis with elevated protein and lowered sugar. Blood and conjunctival swab cultures were negative. He was subsequently treated with intravenous broad-spectrum antibiotics and antifungals to which he responded and was discharged in stable condition. Conclusions: Our case highlights the presentation of septic ICVT complicating orbital cellulitis and paranasal sinusitis. It also underscores the higher sensitivity of SWI as a crucial tool in diagnosing ICVT. Appropriate and prompt medical treatment in orbital cellulitis can prevent further complications.

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C, Chandrakiran, and Trupthi Uthappa. "Orbital Apex Syndrome: An Uncommon Complication caused by a Common Nasal Commensal." Bengal Journal of Otolaryngology and Head Neck Surgery 29, no. 3 (March 18, 2022): 306–9. http://dx.doi.org/10.47210/bjohns.2021.v29i3.556.

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Introduction Orbital apex syndrome, an uncommon condition seen in ENT practice, is characterised by multiple cranial neuropathies, presenting as visual loss, ophthalmoplegia, ptosis and hypoesthesia of forehead due to involvement of Cranial nerves III, IV, VI and V1. Case Report This is a case of an 80-year-old female patient, with poorly controlled Type 2 Diabetes mellitus and Hypertension, who presented with right sided headache of 10 days duration, drooping of right eyelid and decreased vision in right eye for 3 days. Clinically, there were features suggestive of right orbital apex syndrome. MRI Brain showed abnormal enhancement in right orbital apex with subtle enhancement of optic nerve in optic canal and intense enhancement of mucosal thickening in sphenoid sinus. Aerobic culture report of the purulent nasal discharge revealed Staphylococcus epidermidis. Discussion Aetiology of this condition is varied. Rarely known to occur following bacterial sinusitis, it is most commonly seen secondary to fungal sinusitis or orbital cellulitis involving orbital apex. Here we report an unusual case occurring secondary to Staphylococcus epidermidis sinusitis. In conclusion, although acute orbital apex syndrome is usually associated with invasive fungal sinusitis, clinicians must be aware that bacterial sinusitis may also present with a similar aggressive pattern.

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Hill, J., and T. Alun-Jones. "Eyelid necrosis complicating acute maxillary sinusitis." Journal of Laryngology & Otology 103, no. 4 (April 1989): 413–14. http://dx.doi.org/10.1017/s0022215100109090.

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AbstractOrbital cellulitis is a well recognized complication of paranasal sinusitis. Fearon et al. (1979) reviewed 6,770 cases of sinusitis, of which only 159 had orbital cellulitis. We report a case in which orbital cellulitis progressed to necrosis of the eyelids. This was treated by desloughing and split skin grafting.

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Singh, Bharath, James Van Dellen, Shanil Ramjettan, and Tejprakash J. Maharaj. "Sinogenic intracranial complications." Journal of Laryngology & Otology 109, no. 10 (October 1995): 945–50. http://dx.doi.org/10.1017/s0022215100131731.

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AbstractTwo hundred and nineteen patients, with intracranial complications of sinusitis, are presented. Sinusitis is still a life-threatening condition and if neglected, or mismanaged, can lead to intracranial complications that result in a high mortality and morbidity.Twenty-two patients had meningitis, 127 subdural empyema, 38 brain abscess, 15 combined brain abscess and subdural empyema and 17 extradural empyema. The diagnosis of intracranial abscess and sinusitis was made with the aid of a CT scan, and that of meningitis on cerebrospinal fluid microscopy, chemistry and culture. The most frequent presenting signs were fever (68 per cent) and headache (54 per cent). The most common localizing neurological sign was hemiparesis (35.5 per cent). Orbital inflammation was present in 41.5 per cent of patients.Treatment entailed immediate, appropriate, intravenous antibiotic therapy and prompt surgery, performed within 12 hours of admission. In patients with meningitis, the surgery entailed surgery of the sinus disease only. In patients with subdural empyema, brain abscess and extradural empyema, evacuation of the primary source of infection by the radical frontoethmoidectomy approach, immediately after drainage of the intracranial collection of pus, was carried out.There were 35 deaths (16 per cent). The highest mortality rate was recorded in patients with meningitis (45 per cent) followed by brain abscess (19 per cent) and subdural empyema (11 per cent). Despite advances in medicine, i.e. antibiotics and CT scan for early and accurate diagnosis, the mortality from sinogenic intracranial complications has remained significant. This can only be eliminated through education. This paper emphasizes to younger generations of otolaryngologists and primary care physicians that sinusitis is a serious disease and there is no place for delay or complacency when managing such patients.

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Flam, Juliette O., Michael P. Platt, Rachel Sobel, Anand K. Devaiah, and Christopher D. Brook. "Association of oral flora with orbital complications of acute sinusitis." American Journal of Rhinology & Allergy 30, no. 4 (July 1, 2016): 257–60. http://dx.doi.org/10.2500/ajra.2016.30.4328.

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Mekhitarian Neto, Levon, Shirley Pignatari, Sérgio Mitsuda, Antonio Sérgio Fava, and Aldo Stamm. "Acute Sinusitis in Children - A retrospective study of orbital complications." Brazilian Journal of Otorhinolaryngology 73, no. 1 (January 2007): 75–79. http://dx.doi.org/10.1016/s1808-8694(15)31126-5.

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Vasiwala, Rafiqahmed Abdulkarim, Wong Zhen Yu, Tee Chen Giap, Ashiya Rafiq, and Irfan Mohamad. "Facial nerve palsy as an unusual presentation of orbital apex syndrome." Pediatria i Medycyna Rodzinna 17, no. 2 (June 4, 2021): 176–79. http://dx.doi.org/10.15557/pimr.2021.0028.

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Clinical cases of orbital apex syndrome are rare and most commonly manifested as a complication of fungal sinusitis, mainly in immunocompromised and poorly controlled diabetic patients. Rhino-orbital mucormycosis is a rare opportunistic, aggressive and fatal infection caused by mucor. The complex presentation of orbital apex syndrome not only poses a diagnostic challenge but also demands a multidisciplinary approach in patient management. Facial nerve palsy is an unusual presentation in orbital apex syndrome. We report the case of a 64-year-old diabetic patient presenting with ophthalmoplegia and visual loss associated with facial nerve palsy. Prompt ophthalmologic and otolaryngologic intervention with imaging and histologic confirmation, followed by early initiation of antifungal and antimicrobial therapy, were integral to preventing further complications, and reducing morbidity and mortality.

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Stallworth, Christian L., K. Christopher McMains, and Frank Miller. "S131 – Complicated Community-Acquired MRSA Sinusitis: A Case Series." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (August 2008): P120—P121. http://dx.doi.org/10.1016/j.otohns.2008.05.304.

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Objectives Participants should 1) understand the similarities and differences between nosocomial methicillin-resistant Staphylococcus aureus (MRSA) and its community-acquired counterpart (CA-MRSA); 2) recognize MRSA as an evolving member of the bacterial pathogens responsible for acute bacterial rhinosinusitis (ABRS); and 3) raise suspicion of CAMRSA in the differential for cases of progressive sinusitis, with or without complications, despite conventional first-line antimicrobial therapies. Methods Following the retrospective review of patients presenting to an urban tertiary care institution, those patients presenting with complicated sinusitis were identified. Data collected from chart review included age, sex, presenting signs and symptoms, onset of illness, therapy initiated prior to emergent presentation, operative procedures performed and operative findings, culture organisms and sensitivities, postoperative course, and final outcomes. Results 9 patients presented with periorbital complications following an antecedent sinusitis. All 9 patients developed infectious orbital complications including periorbital cellulitis, lid abscess, orbital abscess, and 1 case of ipsilateral blindness. Cultures identified CA-MRSA as the primary pathogen which was characteristically sensitive only to vancomycin, clindamycin, doxycycline, and trimethoprim/sulfamethoxazole. All patients were treated with vancomycin with subsequent transition to oral antibiotics. In addition, all patients required early surgical intervention to manage their disease. Conclusions While the vast majority of ABRS is easily treated using the guidelines established by the Sinus and Allergy Health Partnership, clinicians should consider CAMRSA sinusitis in those patients who fail to respond or who suffer disease progression. This presentation discusses the diagnosis and treatment of CA-MRSA sinusitis with emphasis on bacterial resistance and appropriate antibiotic selection.

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