Orbital complications secondary to acute sinusitis– A 10 years retrospective review

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Abstract

Orbital complication may accompany acute sinusitis in all age, commonly preseptal or orbital cellulitis. To evaluate the clinical presentation, management, and outcome of orbital complications of sinusitis in patients treated at our institution. A case study of retrospective review of 10 patients with orbital complications secondary to acute sinusitis was conducted in our center over a 10-year period. The clinical presentation, relevant investigations, management and outcome were analysed. Most of the patients were children. The most common diagnosis was sub-periosteal abscess (SPOA) in five patients (50%), followed by two cases each of preseptal cellulitis, and orbital cellulitis and one of orbital abscess. CT scan plays a major role in diagnosis and disease monitoring. Surgical drainage is recommended in managing orbital abscesses, but we highlight a case of a small orbital abscess which was successfully managed conservatively. The clinical examination alone is not always helpful and therefore a CT scan is useful to diagnose and monitor the extent of the intraorbital infection. Rigorous medical treatment has an important role not only in preseptal and orbital cellulitis, but also in SPOA and small orbital abscess.

Original languageEnglish
Pages (from-to)130-136
Number of pages7
JournalEastern Journal of Medicine
Volume19
Publication statusPublished - 2014

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antineoplaston A10
Sinusitis
Abscess
Orbital Cellulitis
Cellulitis
Drainage
Retrospective Studies
Infection

Keywords

  • Endoscopy
  • Orbital cellulitis
  • Paranasal sinus disease
  • Sinusitis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Orbital complications secondary to acute sinusitis– A 10 years retrospective review",
abstract = "Orbital complication may accompany acute sinusitis in all age, commonly preseptal or orbital cellulitis. To evaluate the clinical presentation, management, and outcome of orbital complications of sinusitis in patients treated at our institution. A case study of retrospective review of 10 patients with orbital complications secondary to acute sinusitis was conducted in our center over a 10-year period. The clinical presentation, relevant investigations, management and outcome were analysed. Most of the patients were children. The most common diagnosis was sub-periosteal abscess (SPOA) in five patients (50{\%}), followed by two cases each of preseptal cellulitis, and orbital cellulitis and one of orbital abscess. CT scan plays a major role in diagnosis and disease monitoring. Surgical drainage is recommended in managing orbital abscesses, but we highlight a case of a small orbital abscess which was successfully managed conservatively. The clinical examination alone is not always helpful and therefore a CT scan is useful to diagnose and monitor the extent of the intraorbital infection. Rigorous medical treatment has an important role not only in preseptal and orbital cellulitis, but also in SPOA and small orbital abscess.",
keywords = "Endoscopy, Orbital cellulitis, Paranasal sinus disease, Sinusitis",
author = "Eyzawiah Hassan and Gendeh, {Balwant Singh} and Salina Husain and {Mohd Zaki}, Faizah",
year = "2014",
language = "English",
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pages = "130--136",
journal = "Eastern Journal of Medicine",
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T1 - Orbital complications secondary to acute sinusitis– A 10 years retrospective review

AU - Hassan, Eyzawiah

AU - Gendeh, Balwant Singh

AU - Husain, Salina

AU - Mohd Zaki, Faizah

PY - 2014

Y1 - 2014

N2 - Orbital complication may accompany acute sinusitis in all age, commonly preseptal or orbital cellulitis. To evaluate the clinical presentation, management, and outcome of orbital complications of sinusitis in patients treated at our institution. A case study of retrospective review of 10 patients with orbital complications secondary to acute sinusitis was conducted in our center over a 10-year period. The clinical presentation, relevant investigations, management and outcome were analysed. Most of the patients were children. The most common diagnosis was sub-periosteal abscess (SPOA) in five patients (50%), followed by two cases each of preseptal cellulitis, and orbital cellulitis and one of orbital abscess. CT scan plays a major role in diagnosis and disease monitoring. Surgical drainage is recommended in managing orbital abscesses, but we highlight a case of a small orbital abscess which was successfully managed conservatively. The clinical examination alone is not always helpful and therefore a CT scan is useful to diagnose and monitor the extent of the intraorbital infection. Rigorous medical treatment has an important role not only in preseptal and orbital cellulitis, but also in SPOA and small orbital abscess.

AB - Orbital complication may accompany acute sinusitis in all age, commonly preseptal or orbital cellulitis. To evaluate the clinical presentation, management, and outcome of orbital complications of sinusitis in patients treated at our institution. A case study of retrospective review of 10 patients with orbital complications secondary to acute sinusitis was conducted in our center over a 10-year period. The clinical presentation, relevant investigations, management and outcome were analysed. Most of the patients were children. The most common diagnosis was sub-periosteal abscess (SPOA) in five patients (50%), followed by two cases each of preseptal cellulitis, and orbital cellulitis and one of orbital abscess. CT scan plays a major role in diagnosis and disease monitoring. Surgical drainage is recommended in managing orbital abscesses, but we highlight a case of a small orbital abscess which was successfully managed conservatively. The clinical examination alone is not always helpful and therefore a CT scan is useful to diagnose and monitor the extent of the intraorbital infection. Rigorous medical treatment has an important role not only in preseptal and orbital cellulitis, but also in SPOA and small orbital abscess.

KW - Endoscopy

KW - Orbital cellulitis

KW - Paranasal sinus disease

KW - Sinusitis

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