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The Egyptian Journal of Otolaryngology
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Orbital complications of sinus origin: diagnosis, differential diagnosis, and management

The Egyptian Journal of Otolaryngology volume 30, pages 10–16 (2014)Cite this article

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Abstract

Objective

The aim of this study was to propose a proper and standardized protocol for the management of patients diagnosed with orbital complications of sinus origin. This depends on the original clinical diagnosis, or as the patient sent from the ophthalmology department, after computerized tomography, and sometimes pathology, some cases proved to be of nonsinus origin.

Materials and methods

This is a retrospective study that included 62 patients diagnosed with orbital complications of sinus origin and treated in the last 8 years; the data collected included medical history, detailed examination including endoscopic findings, radiological results, and finding at surgical intervention if performed. Follow-up data were collected for at least 6 months after management.

Results

Sinusitis of different etiologies can affect the orbit, affection is not always by direct extension, and the orbit may also be affected by noninfectious lesions from the sinuses.

Conclusion

Proper management of orbital complications of sinusitis requires meticulous assessment of history, examination, and radiology for a proper diagnosis without delay that may adversely affect vision.

References

  1. Suhaili DN, Goh BS, Gendeh BS. A ten year retrospective review of orbital complications secondary to acute sinusitis in children. Med J Malaysia 2010; 65: 49–52.

    PubMed  Google Scholar 

  2. Beswell J, Bauman NM. Management of pediatric orbital cellulitis and abscess. Curr Opin Otolaryngol Head Neack Surg 2011; 19: 467–473.

    Article  Google Scholar 

  3. Huang SF, Lee TJ, Lee YS, Chen CC, Chin SC, Wang NC. Acute rhinosinusitis-related orbital infection in pediatric patients: A retrospective analysis. Ann Otol Rhinol Laryngol 2011; 120: 185–190.

    Article  Google Scholar 

  4. Chandrasekharan R, Thomas M, Rupa V. Comparative study of orbital involvement in invasive and non invasive fungal sinusitis. J Laryngol Otol 2012; 126: 152–158.

    Article  CAS  Google Scholar 

  5. Yang M, Quah BL, Seah LL, Looi A. Orbital cellulitis in children-medical treatment versus surgical treatment. Orbit 2009; 28: 124–136.

    Article  Google Scholar 

  6. Sinclair CF, Berkowitz RG. Prior antibiotic therapy for acute sinusitis in children and the development of subperiosteal orbital abscess. Int J Pediatr Otorhinolaryngol 2007; 71: 1003–1006.

    Article  Google Scholar 

  7. Parvizi N, Choudhury N, Singh A. Complicated periorbital cellulitis: Case report and literature review. J Laryngol Otol 2012; 126: 94–96.

    Article  CAS  Google Scholar 

  8. Dewan MA, Meyor DR, Wladis EJ. Orbital cellulitis with subperiosteal abscess: Demographics and management outcomes. Ophthal Plast Reconstr Surg 2011; 27: 330–332.

    Article  Google Scholar 

  9. Sridhar J, Lam BL, Pasol J, Sternau L. Neuro-ophthalmic manifestations of fungal disease. J Neuroophthalmol 2012; 32: 197–201.

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Otolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt, 11121, 30 morad street

    Nassim Talaat MD & Fady Ghareb

  2. National Institute of Laser Enhanced Science, Beni Suif University, Beni-Suef, Egypt

    Sherif Safwat

  3. Department of Otolaryngology, Faculty of Medicine, Beni Suif University, Beni-Suef, Egypt

    Nader Naguib

Authors
  1. Nassim Talaat MD
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  2. Sherif Safwat
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  3. Nader Naguib
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  4. Fady Ghareb
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Corresponding author

Correspondence to Nassim Talaat MD.

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Conflicts of interest

There are no conflicts of interest.

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Talaat, N., Safwat, S., Naguib, N. et al. Orbital complications of sinus origin: diagnosis, differential diagnosis, and management. Egypt J Otolaryngol 30, 10–16 (2014). https://doi.org/10.4103/1012-5574.127185

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  • DOI: https://doi.org/10.4103/1012-5574.127185

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