Orbital Complications of Rhinosinusitis in the Adult Population: Analysis of Cases Presenting to a Tertiary Medical Center Over a 13-Year Period

The Annals of Otology, Rhinology, and Laryngology
Aiman El MograbiEthan Soudry

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

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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

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