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Year : 2003  |  Volume : 5  |  Issue : 1  |  Page : 5-9

Orbital complications of rhinosinusitis

Department of Otorhinolaryngology - Head & Neck Surgery, King Abdul Aziz University Hospital, College of Medicine - King Saud University Riyadh, Saudi Arabia

Correspondence Address:
M.D Awad Al-Serhani
Dept. of ORL-H & NS, KAUH P.O. Box 245, Riyadh 11411
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.289567

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Objective: This study was performed to determine the common features of orbital complications of rhinosinusitis. Material and Method: This was a retrospective study of 21 patients’ charts who were diagnosed and treated for orbital complications of rhinosinusitis in King Abdul Aziz University Hospital (Riyadh, Saudi Arabia) over 10 years period (from 1992 to 2001). Results: The most common presentations of orbital complications of rhinosinusitis were swollen upper eyelid (95.2%) followed by redness of the eyes (90.5%), pain and inability to open the involved eye (71.4%). Other less common features included diplopia (14.5%), proptosis (9.5%), and lower eyelid involvement (5%). The most common orbital complications was preseptal cellulitis (52.4%), followed by orbital cellulitis (33.3%) and subperiosteal abscess (14.3%). Features of Rhinosinusitis in patients with orbital suppuration were uncommon (23.8%). The most commonly affected sinuses were the ethmoids (43%) followed by the ethmoids in association with the maxillary sinus (24%), the frontal sinus (19%) and the sphenoid sinus (14%). The most common causative organisms were Staph, aureus (55%) followed by Streptococcus and H. influenza(15% each) and Moraxilla catarrhales (10%). Conclusion: We conclude from this study that the most commonly involved single sinus related to orbital disease is the ethmoid sinuses followed by ethmoids in association with maxillary, frontal and sphenoid sinuses, while Staph, aureus as the commonest causative organism. The majority were diagnosed as cellulitis. Orbital abscess as well as cavernous sinus thrombosis were not found. All patient with orbital suppuration should be evaluated clinically and radiologically for sinus disease even if they do not have stigma of rhinosinusitis.

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