[Pre- and postseptal orbital rhinosinusogenic complications]

The authors present examination and surgical data on 78 patients with different forms of orbital rhinosinusogenic complication. One of the major factors for the course and therapeutic policy in such complications is pre- or postseptal location of the process in the orbit. Such local signs as exophthalmos, chemosis, dislocation, reduced motility of the eye ball and, later on, sight disorders indicate the lesion focus location behind the orbital septum. Clinical comparisons of the pre- and postseptal orbital complications evidence for more severe and prognostically unfavorable course of the inflammation in the posterior part of the orbit. This urges early active combined therapy and cleansing of the affected paranasal sinuses in such patients.