Abstract
Orbital complications of rhinosinusitis in adults are scarcely discussed in the literature. To review our experience with the management of orbital complications of rhinosinusitis in the adult patient population and identify key factors in the characteristics and management of these patients. Retrospective case series during the years 2004 to 2016 in a tertiary referral center including all patients with rhinosinusitis and orbital complications. Severity of complications, risk factors, clinical, imaging and microbiological data, treatment outcomes. Seventy patients were identified. Median age at diagnosis was 38 years. In 57%, complications were associated with acute rhinosinusitis and in 43% with chronic rhinosinusitis, most of whom had a history of previous sinus surgery. Thirty-five percent of patients received antibiotics prior to admission. The majority of the previously operated patients (61%) had some form of orbital wall dehiscence noted on imaging. Preseptal cellulitis was the most common complication (61.5%) encountered, followed by orbital cellulitis (23%), sub-periosteal abscess (11.5%), orbital abscess (3%), and cavernous sinus thrombosis (1.5%). Gram-positive bacteria were more commonly isolated from acute rhinosi...Continue Reading
References
Jun 1, 1991·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B S Patt, S C Manning
Sep 1, 1970·The Laryngoscope·J R ChandlerE R Stevens
Jul 1, 1982·The Laryngoscope·V L SchrammJ S Kennerdell
Aug 2, 2000·Ophthalmology·G H Garcia, G J Harris
Jul 19, 2005·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Lance E Oxford, John McClay
May 2, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jonathan S GlicksteinJerome W Thompson
Aug 15, 2006·International Journal of Pediatric Otorhinolaryngology·Lance E Oxford, John McClay
May 17, 2007·Brazilian Journal of Otorhinolaryngology·Levon Mekhitarian NetoAldo Stamm
Dec 12, 2007·British Journal of Neurosurgery·D KombogiorgasJ Singh
Mar 3, 2009·International Journal of Pediatric Otorhinolaryngology·Itzhak Brook
Sep 9, 2010·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Ian Paul Olwoch
Oct 26, 2010·The Journal of Pediatrics·Veronica K GoytiaMorven S Edwards
Aug 17, 2011·Archives of Otolaryngology--head & Neck Surgery·Aditya Mahalingam-DhingraRahul K Shah
Mar 14, 2013·Pediatric Clinics of North America·Itzhak Brook
May 22, 2013·International Journal of Pediatric Otorhinolaryngology·Kurt Denton Schlemmer, Shamlan Krishna Naidoo
May 19, 2016·Orbit·Rita GonçalvesJosé A Lemos
Jan 5, 2018·The Annals of Otology, Rhinology, and Laryngology·Haim GavrielEphraim Eviatar
Citations
Nov 27, 2019·International Journal of Environmental Research and Public Health·Siu-Fung ChauChia-Yi Lee
Apr 25, 2020·Case Reports in Ophthalmological Medicine·Yousra AjhounAbdelbarre Oubaaz
Jun 5, 2020·Current Allergy and Asthma Reports·Francesca JaumeJoaquim Mullol
Nov 26, 2020·International Forum of Allergy & Rhinology·Richard R OrlandiBing Zhou
Apr 24, 2021·BMJ Case Reports·Sairam RaghavanLuis Parra-Rodriguez
Jul 14, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·John R CraigEdward L Peterson
Dec 8, 2021·Deutsches Ärzteblatt International·Hans J WelkoborskyBurkhard Wiechens