Abstract
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 .
Aim: This study aimed to evaluate efficiency of medical treatment in orbital complications secondary to rhinosinusitis.
Methods: It was a hospital based Prospective study. Patients diagnosed with orbital complications secondary to rhinosinusitis were enrolled in this study. During the period January 2014 June 2021, at OtoRhinoLaryngoloy, Head & Neck Department, at Al-Thawra Teaching Hospital, Sana'a, Yemen. All patients underwent to clinical examination, radiological investigations (CT, MRI), 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 complained of orbital complications secondary to rhinosinusitis were included in the study. Age ranged between two and 50 year, 73.3% of the patients was males and 26.7% was females. Children were the most category affected 24 patients, right was more than left side ethmoid sinus was the most sinus affected, followed by ethmoid and maxillary sinuses together. Preseptal cellulitis was the commonest complication among the patients (53.3%), orbital cellulitis and subperiosteal abscess occurred in 20% of the patients. Medical treatment succeeded in 80% of the patients, surgical procedure under covering of antibiotic was done in 20% of the 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.
Keywords: Orbital complications, Rhinosinusitis, Surgical procedure, Medical treatment
Ali O. Muthanna
Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine and Health Sciences, Sana’a University, Sana’a, Yemen
For Correspondence:
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