Orbital‐facial complications of sinusitis in children

Fearon, Blair; Edmonds, Brodie; Bird, R B

doi:10.1288/00005537-197906000-00010

Cited by 78 publications

(34 citation statements)

References 1 publication

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“…In contrast to most reported series, Mortimore&Wormald, 1997 Moloney et al, 1987, , Spires&Smith, 1986, Fearon et al, 1979, we had more adults (n=19 / %) than children (n=11 / %).…”

Section: Prevalencecontrasting

confidence: 83%

Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis

El-Banhawy¹,

El-Hateem²,

Behery³

et al. 2015

ASS

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Abstract:The methods for the treatment of orbital complications of rhinosinusitis are often debated: conservative, surgical or combined. Surgical options include both endoscopic and open surgery. However, in the era of endoscopic surgery of the nose and paranasal sinuses, there are still no clear advantages of these techniques over open interventions. Therefore, our study aimed to clarify and evaluate the results of intranasal endoscopic procedures performed in individuals with orbital complications of rhinosinusitis in search for optimal treatment of this group of patients. 30 patients were divided based on Velasco classification into 3 groups; 1 st group (14 patients) for patients with orbital cellulitis, 2 nd group (10 patients) for patients with subperiosteal orbital abscess and the 3 rd one (6 patients) was for patients with intraorbital abscess. Endoscopic endonasal surgery was done for all patients in group II and III and in 4 patients indicated for surgery in group I. Our result showed a highly significant postoperative improvement in proptosis, ocular motility, diplopia and vision acuity. Conclusion: Endoscopic Sinus Surgery offers a convenient, safe, and effective alternative to open procedures and can be successfully performed in well-selected cases of orbital complications of rhinosinusitis with many advantages.

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“…In contrast to most reported series, Mortimore&Wormald, 1997 Moloney et al, 1987, , Spires&Smith, 1986, Fearon et al, 1979, we had more adults (n=19 / %) than children (n=11 / %).…”

Section: Prevalencecontrasting

confidence: 83%

Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis

El-Banhawy¹,

El-Hateem²,

Behery³

et al. 2015

ASS

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show abstract

“…The predisposing factor for the orbital cellulitis was acute sinusitis which was confirmed by many authors. Fearon et al [4] suggested that complicating sinusitis is commoner in the younger age group because vascular development is greater, with softer and more diploeic bone that allows infection to spread with greater ease.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Orbital Cellulitis Followed by Therapeutic(Orthodontic) Extraction

Prasad

Govardhan

2011

J. Maxillofac. Oral Surg.

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We report a rare case of orbital cellulitis occurring secondary to a dental infection followed by therapeutic (orthodontic) extraction. A 16 year old female patient presented to the dental office with a left orbital proptosis for the past 4 days. PNS view, CT scan revealed an abscess in relation to medial, lateral superior inferior walls of the orbit associated with naso ethmoidal and left maxillary sinus. Through nasal endoscopy, middle meatus antrostomy and ethmoidectomy was performed for the drainage of pus from the orbit, ethmoid and maxillary sinus under general anesthesia. Immediately regression of orbital swelling was noticed. Eyeball movements improved. Epiphora reduced and proptosis declined. With the advent of higher antibiotics, orbital infection rarely occurs secondary to dental causes except in a very few cases. Complete elimination of pus from orbital cavity, para nasal air sinuses and appropriate antibiotic coverage at the earliest forms the mainstay of treatment. The nasal endoscopic approach with orbital decompression is the most acceptable atrumatic, cosmetic and functional procedure.

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“…A retrospective multi-institutional study found intracranial complications in only 3.7% of hospital admissions for acute or chronic sinusitis. 5) The diagnosis requires a high index of suspicion and confirmation by imaging. 6) Septic thrombophlebitis of the cavernous sinuses secondary to paranasal sinusitis is extremely rare.…”

Section: Discussionmentioning

confidence: 99%

Clival Inflammation With Cavernous Sinus Thrombophlebitis and Orbital Subperiosteal Abscess -Case Report-

Nakamura

Kawamata

Kobayashi

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 64-year-old woman presented with a very rare case of three infectious lesions, cavernous sinus thrombophlebitis, clival inflammation, and orbital subperiosteal abscess (SPA), manifesting as abducens palsy. An isolated non-specific mass in upper clivus was initially suspected to be derived from paranasal sinusitis. The clival lesion was approached by an endonasal transsphenoidal route and diagnosed as inflammation. However, progressive enlargement of an orbital mass was recognized, with eyelid erythema and swelling. Magnetic resonance imaging showed massive paranasal sinusitis and an intra-orbital mass, which was proved to be an orbital SPA by open surgery. Cavernous sinus thrombophlebitis might have been caused by primary paranasal sinusitis, and the origin of orbital cellulitis was suspected to be cavernous sinusitis based on the preoperative radiological findings. These unusual lesions should be kept in mind as one of the differential diagnoses.

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Orbital‐facial complications of sinusitis in children

Cited by 78 publications

References 1 publication

Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis

Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis

A Rare Case of Orbital Cellulitis Followed by Therapeutic(Orthodontic) Extraction

Clival Inflammation With Cavernous Sinus Thrombophlebitis and Orbital Subperiosteal Abscess -Case Report-

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