The article presents a literature review of the problem of intracranial and orbital rhinosinusitis complications. The modern classification of rhinosinusitis according to European Position Paper on Rhinosinusitis and Nasal Polyps – 2020 is presented. The possible complications of acute and exacerbation of chronic inflammatory diseases, the features of development associated with the topographical and anatomical localization in the facial and cerebral skull region. The advantages of paranasal sinuses computed tomography and magnetic resonance imaging in the diagnosis of pathological processes, especially in cases of complicated forms of rhinosinusitis, are described. Also, a clinical example of the orbital abscess development, its diagnosis difficulties, and the choice of a surgical treatment algorithm are presented. In conclusion, recommendations for practicing ENT surgeons are presented, reflecting the key points of diagnosis and treatment of complicated forms of rhinosinusitis.
This article presents a rare clinical case of a newly diagnosed carcinoma of the nasal cavity in a young woman. The clinical symptoms of this disease are scarce, complaints are typical for most diseases of the ENT organs. The final verification of the diagnosis is possible on the basis of histological examination of the surgical material.
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