The Complications of Sinusitis in a Tertiary Care Hospital: Types, Patient Characteristics, and Outcomes

Abstract

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.

Orbital complications of paranasal sinusitis in Taiwan, 1988 through 2015: Acute ophthalmological manifestations, diagnosis, and management

“…In addition, immunocompromised states ( e . g ., diabetes mellitus, chronic renal failure, chronic liver disease, high-dose steroid therapy, or acquired immune deficiency syndrome) reportedly predispose patients to bacterial sinusitis and orbital cellulitis [ 5 ]. In the current study, diabetes mellitus was present in 24.1% of patients, liver cirrhosis in 1.2%, and end stage renal disease in 1.2%.…”

“…Abscess formation with pus or debris within the orbital content was classified as stage IV, orbital abscess. Additional intracranial extension, including cavernous sinus thrombosis, meningitis, cerebritis, or epidural/subdural/intracerebral abscess or empyema, was classified as stage V [ 5 – 7 ].…”

Varied orbital manifestations of paranasal sinus disease

“…3.7 to 20% of the patients can present with complications, of which 60-75% will have orbital complications and others will have local and intracranial involvement. 1 Ethmoid sinus is the most common sinus associated with orbital complications because of its close proximity to the orbit and is separated from the orbit by a weak barrier called lamina papyracea. These complications can be dealt either medically, surgically or combined depending on the extent of disease.…”

Effect of Myrtus communis L. Syrup on Chronic Rhinosinusitis: A Randomized Double-Blind, Placebo-Controlled Pilot Study

“…The endoscopic operation costs around $1547 to $2,00 for each patient (2). Secondary conditions may arise after the disease, which mostly include 2 categories: 1) orbital ocular (60 -75%) and 2) intracranial complications (15 -20%) (3). The disease has infectious and noninfectious cases.…”