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International Bulletin of Otorhinolaryngology

Orbital Complications of Acute Rhinosinusitis – Surgical management with combined endoscopic endonasal and external approach: Case series

J. Kasaboglu, Ts. Marinov, J. Rangachev, O. Stoyanov

Abstract

Background:
Objectives: To describe the clinical presentation, diagnosis and surgical management of orbital complications related to acute rhinosinusitis with endoscopic endonasal and external approches
Methods: Case series (n=2) and parameters, perioperative complications were recorded.
Results: We report a case series of two adult male patients with presentation of orbital complications related to acute rhinosinusitis with different stages. Imaging showed orbital abscess and subperiosteal abscess. We report a case series of 3 patients ,including a pediatric case, managed with combination of functional endoscopic sinus surgery and external approach - anterior orbitotomy. Post-operatively, medical treatment continued according to the microbiological analysis.
Conclusion: Orbital complications of acute rhinosinusitis are often associated with the delay in diagnosis and, or inadequate treatment.
The aim of this case series is to discuss also the current strategies for the management of orbital complications of acute rhinosinusitis for better post-treatment outcomes.


Keywords

Acute rhinosinusitis, orbital complications, Functional endoscopic nasal surgery, external orbitotomy, Chandler classification

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DOI: http://dx.doi.org/10.14748/orl.v19i4.10010

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