Are Orbital Complications a Problem with Rhinosinusitis Even Today? A Clinical Experience in Patients from Slum Areas of Hyderabad (original) (raw)
Related papers
Orbital Complications of Sinusitis A Review
Otolaryngology online journal, 2014
Introduction: Despite availability of excellent antibiotics, orbital complications’ following sinusitis is rather common. With the emergence of fungal sinusitis orbital involvement by the disease is getting frequent. Prevalence of life style disorders like diabetes mellitus has added to the woes. This article attempts to review the entire gamut of orbital complications following sinus infections. Aim: This study aims at analyzing orbital complications following sinusitis at Government Stanley Medical College Hospital during the period 2009 – 2013. Study design: Retrospective study Methodology: Cases with rhinosinusitis treated in our Institution during the period 2009-2013 were taken up for analysis. 112 patients were chosen for the study. Their case records were analyzed. CT scan images taken during the time of admission were also evaluated. Patients with orbitalcomplications following rhinosinusitis were included. Chandler’s classification was used to categorize the stage of disease. Results: 112 patients were included in the study. 76 Male patients 36 Female patients 26 patients developed orbital complications Number of male patients with orbital complication – 22 Number of female patients with orbital complication – 4 Number of patients who died due to complications - 2 Conclusion: High degree of suspicion, early diagnosis and aggressive medical management of Chandler’s categories I and II will go a long way in preventing irreparable damage to vision. All our patients were managed initially with parenteral antibiotics. Patients who do not show improvement even after 4 days of antibiotic therapy were taken up for surgical management.
Medical Treatment for Orbital Complications Secondary to Rhinosinusitis
مجلة جامعة الرازي للعلوم الطبية, 2019
Background: Despite the modern antibiotherapies applied in the practice of otorhinology, the orbital complications of sinusitis are still considered a serious threat to essential functions of the eye, including loss of vision and life threatening symptoms. Aim. To assess the efficiency of medical treatment in orbital complications secondary to rhinosinusitis. Methods: Quasi-experimental study was admonished among 30 patients with orbital complications secondary to rhinosinusitis from January 2010-June 2017, at OtoRhinoLaryngoloy, Head & Neck Department, at Al-Thowrah general modern hospital, Sana'a, Yemen. All patients underwent to clinical examination, radiological investigations (C T, MRI), and initially aggressive medical treatment by IV. Antibiotic and locally nasal decongestant for 24-48 hours, if there is no evidence of improvement, we intervened with a surgical procedure, by nasal endoscopy or external approach in the form of external ethmoidectomy to evacuate collection of pus. Results: A total of 30 patients had complained of orbital complications secondary to rhinosinusitis were included in the study. Age ranged 2-50 year, males (73.3%) and females (26.7%) Patients. Children were the most category affected 24 patients, right was more than left side ethmoidal sinus was the most sinus affected, followed by ethmoid and maxillary sinuses together. Preseptal celullitis was the commonest complication (53.3%) patients, orbital celullitis, and subperiosteal abscess occurred in (20%) patients respectively. Medical treatment successes in (80%) patients, surgical procedure under covering of antibiotic was done in (20%) patients. Conclusion: Orbital complications were the most common complications secondary to rhinosinusitis and were more in the children. The outcome of the treatment depended on the types of complications. Medical treatment was showed high efficiency rate.
Orbital complications of acute rhinosinusitis
International Bulletin of Otorhinolaryngology, 2018
Introduction. Rhinosinusitis is the infection and inflammation of at least one of the 4 paranasal sinuses (frontal, maxillary, ethmoid and sphenoid). Their correct diagnosis is generally determined by examining the patient clinically and by rhinosinusal endoscopic examination. There are also cases that show complications or continued evolution despite the correct treatment, and then we will use some imaging investigations to find out more about affection(radiography of anterior sinuses of the face, sinus computerized tomography, sinus magnetic resonance imaging). In particular, acute rhinosinusitis should be carefully managed to avoid complications such as the local ones: orbital cellulitis, orbital abscess, osteomyelitis, cavernous sinus thrombosis; and intracranial complications: meningitis, epidural abscess, subdural abscess, cerebral abscess. Materials and methods. There will be presented all orbital complications according to the cases treated in the ENT Clinic of the Coltea Clinical Hospital. Conclusions. Diagnosis of rhinosinusitis is largely clinical and endoscopic. When complications of the condition arise, these should be investigated imagistically to determine their exact extent and to institute the correct treatment as soon as possible. The complications of rhinosinusitis are medical and surgical life-threatening emergencies, which is why in order to diagnose and correct and quickly institute therapy requires a multidisciplinary approach.
Orbital complications of rhinosinusitis
Acta chirurgica iugoslavica, 2009
Introduction: Orbital complications were observed in 53 patients (1.35%, n=53/3912 of all treated patients; 11.04% , n= 53/480 of hospitalized patients). Complications in the orbit can occur in 3 - 5% of adults with the inflammatory condition of sinuses, while the percentage in children ranges from 0.5 - 8%. Objective: The objective of our work was to determine the frequency of the occurrence of orbital complications of the rhinosinal inflammatory origin in a group of adults and children. Method: The retrospective analysis of patients treated of rhinosinusitis in the period 1992 to 2007, in the Clinical Center in Kragujevac. Results: In the period of 15 years, a total number of 3912 patients were treated for inflammatory conditions of paranasal cavities. Orbital complications were found in 53 patients (1.35%, n=53/3912 of all treated patients). The number of children showing orbital complications caused by rhinosinusitis was 0.79%, while the number of adults was 1,88%. Acute rhinosi...
Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 2015
Orbital complication of acute sinusitis is not an uncommon condition, especially in children and young adults. Many cases can be successfully managed medically with antibiotics, but if the condition has not improved or rapidly progressed, it results in catastrophic local sequelae. This study aims to analyze the possible relationship between sinonasal anatomic variation and the incidence of orbital infections complicating acute sinusitis. A management protocol amalgamating both clinical and radiological criteria is presented. The study was carried out on 240 patients suffering from acute rhino-sinusitis with 90 patients suffering from orbital post-septal complicating acute rhino-sinusitis. Eighty-five cases underwent orbital decompression, except 5 cases with orbital cellulitis; they were improved on medical treatment. Visual monitoring by the ophthalmological team on regular basis was performed, until clinical and radiological improvement of the condition. This study proves that there may be a relationship between anatomic variation and orbital infections complicating acute sinusitis or acute on top of chronic sinusitis.
The Journal of craniofacial surgery, 2018
If left untreated, rhinosinusitis can rarely cause a devastating complication irreversible blindness (IB). Despite new technologies in endoscopic sinus surgery and use of new broad-spectrum antibiotics, IB outcome is still a problem for surgically treated orbital complication of paranasal sinus infection (OCPSI) patients, and factors leading to IB outcome are not actually known. The aim of this study was to assess the factors leading to the IB outcome for surgically treated OCPSI patients. Results of 25 surgically treated OCPSI patients in our clinic were combined with surgically treated OCPSI patients reported through the PubMed database search from the year 2007. Patients were divided into 2 groups: IB group and recovery group. Patients having at least 1 immune status-related additional risk factor (ARF) were more common in the IB group, having an at least 1 ARF had 1.683 risk value of IB outcome (RR: 1.683, P = 0.006). IB patients had statistically significant higher mean (21.87 ...
The prevalence of orbital complications among children and adults with acute rhinosinusitis
Brazilian Journal of Otorhinolaryngology, 2013
Acut e rhinosinusitis occurs commonly in children and adults being commoner in children. The prognosis is favorable in majority of cases. Objective: To investigate orbital complications in children and adult with sinusitis. Method: Patients attending ENT clinic with sinusitis from January 2010 until January 2012 were included. Patients were classified into two groups according to their age. First involved children aged less than 16 and second included adults older than 16 years. Clinical picture, sinus involved, management and outcome were compared. Results: The total number of patients were 616. Orbital complications were seen in 36 patients (5.8%). Twenty six patients (72.2%) were children (21 had preseptal and 5 had orbital cellulitis) and ten patients (27.8%) were adults (5 with preseptal, three with orbital cellulitis and 2 with abscess). The most common orbital complication was preseptal cellulitis (72.2%) followed by orbital cellulitis and abscess (22.2% and 5.6% respectively). The commonest sinus involved was ethmoidal in children and mixed sinus pathology in adults. The majority of patients responded to medical treatment. Conclusion: Orbital complications of sinusitis are commoner in children than adults and have favorable prognosis.
Medical Management as First Line Therapy for Orbital Complications due to acute Rhino sinusitis
Zenodo (CERN European Organization for Nuclear Research), 2022
Orbital cellulitis is the most common acute complication of ethmoidal sinusitis. A study of 4 cases, presented to ENT OPD with orbital swelling since 3-5 days and ipsilateral nasal discharge. History, CT findings, vitals with ophthalmic evaluation were noted. All the patients received systemic antibiotics with topical decongestant nasal drops and topical eye ointment and drops. Complications of rhinosinusitis result from progression of acute or chronic infection beyond the paranasal sinuses. In children it is more likely that there will be no prior history of sinusitis, the complication often being the first presentation. Early administration of broad-spectrum IV antibiotics can reduce the risk of further life-threatening complications and even abate the need for surgery.
Management of Ocular and Orbital Complications in Acute Rhinosinusitis and Skull Base Diseases
2016
Orbital extension of acute rhinosinusitis represents a medical and surgical emergency. Radiological investigation with computed tomography (CT) and magnetic resonance imaging (MRI) is essential to distinguish different diagnosis and to evaluate the extent of disease. Endoscopic sinus surgery (ESS) is indicated any time acute sinusitis with complications is observed to reduce compression of adjacent structures, to restore sinus drainage, for bacteriological or mycotic examinations, and to provide a final histopathological examination. The clinical presentation of orbital complications of two rare cases of acute rhinosinusitis and one case of nasopharyngeal carcinoma is described in this paper and the therapeutic approaches are discussed.