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Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis

Received: 28 March 2015     Accepted: 16 April 2015     Published: 6 May 2015
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Abstract

The methods for the treatment of orbital complications of rhinosinusitis are often debated: conservative, surgical or combined. Surgical options include both endoscopic and open surgery. However, in the era of endoscopic surgery of the nose and paranasal sinuses, there are still no clear advantages of these techniques over open interventions. Therefore, our study aimed to clarify and evaluate the results of intranasal endoscopic procedures performed in individuals with orbital complications of rhinosinusitis in search for optimal treatment of this group of patients. 30 patients were divided based on Velasco classification into 3 groups; 1st group (14 patients) for patients with orbital cellulitis, 2nd group (10 patients) for patients with subperiosteal orbital abscess and the 3rd one (6 patients) was for patients with intraorbital abscess. Endoscopic endonasal surgery was done for all patients in group II and III and in 4 patients indicated for surgery in group I. Our result showed a highly significant postoperative improvement in proptosis, ocular motility, diplopia and vision acuity. Conclusion: Endoscopic Sinus Surgery offers a convenient, safe, and effective alternative to open procedures and can be successfully performed in well-selected cases of orbital complications of rhinosinusitis with many advantages.

Published in Advances in Surgical Sciences (Volume 3, Issue 1)
DOI 10.11648/j.ass.20150301.11
Page(s) 1-7
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Endoscopic Endonasal Surgery, outcome and advantages, Orbital Complications of Rhinosinusitis

References
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Cite This Article
  • APA Style

    Omar Abd El-Moniem El-Banhawy, Ibrahim Abd El-Shafy El-Hateem, Esam Abd El-Wanis Behery, Hassan Gamal El-Din Farahat, Osama Mohamed Salah El-Naqib. (2015). Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis. Advances in Surgical Sciences, 3(1), 1-7. https://doi.org/10.11648/j.ass.20150301.11

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    ACS Style

    Omar Abd El-Moniem El-Banhawy; Ibrahim Abd El-Shafy El-Hateem; Esam Abd El-Wanis Behery; Hassan Gamal El-Din Farahat; Osama Mohamed Salah El-Naqib. Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis. Adv. Surg. Sci. 2015, 3(1), 1-7. doi: 10.11648/j.ass.20150301.11

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    AMA Style

    Omar Abd El-Moniem El-Banhawy, Ibrahim Abd El-Shafy El-Hateem, Esam Abd El-Wanis Behery, Hassan Gamal El-Din Farahat, Osama Mohamed Salah El-Naqib. Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis. Adv Surg Sci. 2015;3(1):1-7. doi: 10.11648/j.ass.20150301.11

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  • @article{10.11648/j.ass.20150301.11,
      author = {Omar Abd El-Moniem El-Banhawy and Ibrahim Abd El-Shafy El-Hateem and Esam Abd El-Wanis Behery and Hassan Gamal El-Din Farahat and Osama Mohamed Salah El-Naqib},
      title = {Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis},
      journal = {Advances in Surgical Sciences},
      volume = {3},
      number = {1},
      pages = {1-7},
      doi = {10.11648/j.ass.20150301.11},
      url = {https://doi.org/10.11648/j.ass.20150301.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20150301.11},
      abstract = {The methods for the treatment of orbital complications of rhinosinusitis are often debated: conservative, surgical or combined. Surgical options include both endoscopic and open surgery. However, in the era of endoscopic surgery of the nose and paranasal sinuses, there are still no clear advantages of these techniques over open interventions. Therefore, our study aimed to clarify and evaluate the results of intranasal endoscopic procedures performed in individuals with orbital complications of rhinosinusitis in search for optimal treatment of this group of patients. 30 patients were divided based on Velasco classification into 3 groups; 1st group (14 patients) for patients with orbital cellulitis, 2nd group (10 patients) for patients with subperiosteal orbital abscess and the 3rd one (6 patients) was for patients with intraorbital abscess. Endoscopic endonasal surgery was done for all patients in group II and III and in 4 patients indicated for surgery in group I. Our result showed a highly significant postoperative improvement in proptosis, ocular motility, diplopia and vision acuity. Conclusion: Endoscopic Sinus Surgery offers a convenient, safe, and effective alternative to open procedures and can be successfully performed in well-selected cases of orbital complications of rhinosinusitis with many advantages.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis
    AU  - Omar Abd El-Moniem El-Banhawy
    AU  - Ibrahim Abd El-Shafy El-Hateem
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    N1  - https://doi.org/10.11648/j.ass.20150301.11
    DO  - 10.11648/j.ass.20150301.11
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
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    EP  - 7
    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20150301.11
    AB  - The methods for the treatment of orbital complications of rhinosinusitis are often debated: conservative, surgical or combined. Surgical options include both endoscopic and open surgery. However, in the era of endoscopic surgery of the nose and paranasal sinuses, there are still no clear advantages of these techniques over open interventions. Therefore, our study aimed to clarify and evaluate the results of intranasal endoscopic procedures performed in individuals with orbital complications of rhinosinusitis in search for optimal treatment of this group of patients. 30 patients were divided based on Velasco classification into 3 groups; 1st group (14 patients) for patients with orbital cellulitis, 2nd group (10 patients) for patients with subperiosteal orbital abscess and the 3rd one (6 patients) was for patients with intraorbital abscess. Endoscopic endonasal surgery was done for all patients in group II and III and in 4 patients indicated for surgery in group I. Our result showed a highly significant postoperative improvement in proptosis, ocular motility, diplopia and vision acuity. Conclusion: Endoscopic Sinus Surgery offers a convenient, safe, and effective alternative to open procedures and can be successfully performed in well-selected cases of orbital complications of rhinosinusitis with many advantages.
    VL  - 3
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Author Information
  • Otorhinolaryngolog Department, Faculty of Medicine, Menoufia University, Shebein Elkom, Menoufia, Egypt

  • Otorhinolaryngolog Department, Faculty of Medicine, Menoufia University, Shebein Elkom, Menoufia, Egypt

  • Otorhinolaryngolog Department, Faculty of Medicine, Menoufia University, Shebein Elkom, Menoufia, Egypt

  • Ophthalmology Department, Faculty of Medicine, Menoufia University, Shebein Elkom, Menoufia, Egypt

  • Otorhinolaryngolog Department, Faculty of Medicine, Menoufia University, Shebein Elkom, Menoufia, Egypt

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