[Orbital complications of acute sinusitis].
OBJECTIVE
We investigated orbital complications of acute sinusitis.


METHODS
We retrospectively evaluated 25 patients (13 males, 12 females; mean age 21 years; range 2-56 years) treated for orbital complications of acute sinusitis. The symptoms, physical findings, and prognosis of the patients were investigated. Cases were evaluated according to age, sex, etiologic factors, localization, treatment, morbidity, and mortality.


RESULTS
There were periorbital cellulitis in 20 patients (80%), orbital cellulitis in 2 patients (8%), and subperiosteal abscess in 3 patients (12%). In 5 of 9 cases who were above 16 years of age, a history of surgery and trauma were present. All the patients received high-dose intravenous antibiotic therapy. Three cases with subperiosteal abscess and 2 cases with orbital cellulitis underwent endoscopic surgery. Orbital complications recurred in two patients. There was no mortality or blindness after the treatment of orbital complications of acute sinusitis. Diplopia persisted only in two cases.


CONCLUSIONS
Orbital complications in adult patients are often related with trauma. The patients with orbital complications should be treated with aggressive parenteral antibiotics. Surgical treatment is indicated when subperiosteal orbital abscess, orbital cellulitis, and orbital abscess are seen.
Güven
Mehmet
M
Department of Otolaryngology, Medicine Faculty of Gaziosmanpaşa University, Tokat, Turkey. guvenmehmet28@yahoo.com
Süoğlu
Yusufhan
Y
Erdamar
Burak
B
Cölhan
Ismail
I
Demir
Deniz
D
D000038:Abscess / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002481:Cellulitis / Q000150:complications; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009916:Orbital Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012189:Retrospective Studies; D012852:Sinusitis / Q000150:complications / Q000453:epidemiology* / Q000473:pathology; D014421:Turkey / Q000453:epidemiology