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Objectives: We investigated on morbidity and mortality
orbital complication of acute sinusitis.
Patients and Methods: We retrospectively evaluated
25 patients (13 male, 12 female; mean age 21 years;
range 2-56 years) treated for the orbital complication of
acute sinusitis have been evaluated. The symptoms
physical findings, progress of the patients are investigated
through the hospital reports. Cases are evaluated
according to age, sex, etiologic factors, localization,
treatment, morbidty and morbidty.
Results: Periorbital cellulitis in 20 patients (80%),
orbital cellulitis in 2 patients (8%) and subperiostal
abcess 3 patients (12%) have been reported. In 5 of 9
cases diagnosed an orbital complication who are
above the 16 years, history of surgery and trauma were
present. All the patients diagnosed as orbital complication
received high dose intravenous antibiotic therapy.
Three cases diagnosed as subperiostal abcess and 2
cases diagnosed as orbital cellulitis have been treated
using endoscopic surgery. Two patients were observed
to have recurrence of orbital complication. There was
no mortality and blindness during the treatment of
orbital complication of the acute sinusitis. Diplopy persisted
only in 2 cases.
Conclusion: Orbital complications frequently in adult
patients have been related with trauma. The patients
with orbital complications should be treated with
aggressive parenteral antibiotics. Surgical treatment is
indicated when subperiosteal orbital abcess, orbital cellulitis
and orbital abcess are seens.