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[Orbital complications of acute sinusitis]
Mehmet Güven1, Yusufhan Süoğlu, Burak Erdamar
1Department of Otolaryngology, Medicine Faculty of Gaziosmanpaşa University, Tokat, Turkey. guvenmehmet28@yahoo.com
Summary
Orbital complications from acute sinusitis, including periorbital cellulitis and subperiosteal abscess, were studied. Prompt antibiotic treatment and surgery for severe cases led to no mortality or blindness.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Infectious Diseases
Background:
- Acute sinusitis can lead to serious orbital complications.
- Orbital involvement requires prompt diagnosis and management to prevent vision loss.
Purpose of the Study:
- To investigate the clinical features and outcomes of orbital complications secondary to acute sinusitis.
- To identify risk factors and optimal treatment strategies for these conditions.
Main Methods:
- Retrospective evaluation of 25 patients treated for orbital complications of acute sinusitis.
- Analysis of symptoms, physical findings, etiology, localization, treatment, morbidity, and mortality.
Main Results:
- Periorbital cellulitis was the most common complication (80%), followed by subperiosteal abscess (12%) and orbital cellulitis (8%).
- Trauma and prior surgery were noted in some adult cases. All patients received intravenous antibiotics; surgical intervention was performed for abscesses and cellulitis.
- No mortality or blindness occurred; two patients experienced persistent diplopia.
Conclusions:
- Orbital complications of sinusitis, particularly in adults, are frequently associated with trauma.
- Aggressive parenteral antibiotic therapy is crucial. Surgical intervention is indicated for subperiosteal orbital abscess, orbital cellulitis, and orbital abscess.