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 |
Endoscopic Endonasal Surgery, outcome and advantages, Orbital Complications of Rhinosinusitis
[1] | Caversaccio M, Heimgartner S and Aebi C: Orbital complications of acute pediatric rhinosinusitis: medical treatment versus surgery and analysis of the computer tomogram Laryngorhinootologie. 2005; 84(11):817-21. |
[2] | Chandler JR, Langenbrunner DJ, Stevens ER: The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 1970; 80(9):1414-28. |
[3] | Coenraad S, Buwalda J: Surgical or medical management of subperiosteal orbital abscess in children: a critical appraisal of the literature. Rhinology.2009; 47:18–23. |
[4] | Davis JP, Stearns MP: Orbital complications of sinusitis: avoid delays in diagnosis. Postgrad Med J. 1994; 70:108–110. |
[5] | Eufinger H, Machtens E: Purulent pansinusitis, orbital cellulitis and rhinogenic intracranial complications. J Craniomaxillofac Surg. 2001 29(2):111–117. |
[6] | Fearon, B., Edmonds, B., Bird, R: Orbital-facial complications of sinusitis in children. Laryngoscope. 1979; 89: 947-953. |
[7] | Garcia GH, Harris GJ: Criteria for nonsurgical management of subperiosteal abscess of the orbit: analysis of outcomes 1988–1998. Ophthalmology.2000; 107:1454–1458. |
[8] | Greenberg MF, Pollard ZF: Medical treatment of pediatric subperiosteal orbital abscess secondary to sinusitis. J AAPOS.1998; 2:351–355. |
[9] | Grevers G: Rhino-sinugene Komplikationen In: Grevers G (Hrsg.) Praktische Rhinologie. Urban and Schwarzenberg, Mu ¨nchen, Wien, Baltimore. 1998;pp 153–164. |
[10] | Hollsten J, Hollsten D, Green, MK: Orbital community-acquired methicillin-resistant Staphylococcus aureus infections: the range of presentation, increasing prevalence and efficacy of treatment. Poster at Fall Scientific Symposium, American Society of Ophthalmic Plastic and Reconstructive Surgery. 2008. |
[11] | Jackson K, Baker SR: Clinical implications of orbital cellulitis. Laryngoscope. 1986; 96:568–574. |
[12] | Kastenbauer E: Komplikationen der Entzu¨ndungen der Nasennebenho¨hlen und des Oberkiefers. (German) Naumann HH, Helms J, Herberhold C, Kastenbauer E (Hrsg.) Oto-Rino-Laryngologie in Klinik und Praxis. Bd 2 Thieme, Stuttgart, New York. 1992; pp 234–264. |
[13] | Mias´kiewicz B, Lukomski M, Starska K, Jo´zefowicz-Korczyn´ska M: Orbital complications in acute and chronic sinusitis. H Pol Merkur Lekarski. 2005; 19(111):388–389. |
[14] | Moloney JR, Badham NJ, McRae A: The acute orbit. Preseptal (periorbital) cellulitis, subperiostal abscess and orbital cellulitis due to sinusitis. J Laryngol Otol Suppl. 1978; 12:1–18. |
[15] | Mortimore S, Wormald PJ: The Groote Schuur hospital classification of the orbital complications of sinusitis. J Laryngol Otol. 1997; 111:719-23. |
[16] | Nicholas J Potter NJ, Brown CL, McNab AA, Ting SY: Orbital Cellulitis: Medical and Surgical Management. J Clinic Experiment Ophthalmol. 2011; S2:001. doi:10.4172/2155-9570.S2-001. |
[17] | Ogunleye AO, Nwaorgu OG and Lasisi AO: Complications of sinusitis in Ibadan, Nigeria. West Afr J Med. Apr-Jun. 2001; 20(2):98-101. |
[18] | Oxford LE, McClay J: Complications of acute sinusitis in children, Otolaryngol. Head Neck Surg. 2005; 133 (1) 32–37. |
[19] | Oxford LE, McClay J: Medical and surgical management of subperiosteal orbital abscess secondary to acute sinusitis in children. Int J Pediatr Otorhinolaryngol. 2006; 70:1853-61. |
[20] | Patt BS, Manning SC: Blindness resulting from orbital complications of sinusitis. Otolaryngol Head Neck Surg. 1991; 104(6):789–795. |
[21] | Pjerin Radovani, Dritan Vasili, Mirela Xhelili, Julian Dervishi Balkan Med J: orbital complications of sinusitis. 2013 30:151-4.DOI:10.5152/balkanmedj.8005. |
[22] | Rahbar R, Robson CD, Petersen RA, DiCanzio J, Rosbe KW, McGill TJ et al: Management of orbital subperiosteal abscess in children. Arch Otolaryngol Head Neck Surg. 2001; 127:281– 286. |
[23] | Siedek V, Kremer A, Betz CS, Tschiesner U, Berghaus A, Leunig A : Management of orbital complications due to rhinosinusitis. Eur Arch Otorhinolaryngol. 2010; 267:1881-6. |
[24] | Sinclair CF, Berkowitz RG: Prior antibiotic therapy for acute sinusitis in children and the development of subperiosteal orbital abscess. Int J Pediatr Otorhinolaryngol. 2007; 71(7):1003–1006. |
[25] | Sobol SE, Marchand J, Tewfik TL, Manoukian JJ, Schloss MD: Orbital complications of sinusitis in children. J Otolaryngol. 2002; 31(3):131–136. |
[26] | Souliere CR Jr, Antoine GA, Martin MP, Blumberg AI, Isaacson G: Selective non-surgical management of subperiosteal abscess of the orbit: computerized tomography and clinicalcourse as indication for surgical drainage. Int J Pediatr Otorhinolaryngol. 1990; 19(2):109–119. |
[27] | Spires JR, Smith RJ: Bacterial infections of the orbital and periorbital soft-tissues in children. Laryngoscope. 1986; 96:763-8. |
[28] | Stammberger H: Complications of inflammatory paranasal sinus diseases including iatrogenic-induced complications. Eur Arch Otolaryngol Suppl. 1993; 1:61–102. Review, German. |
[29] | Strek P, Zagólski O, Składzień J, Kurzyński M, Oleś K, Muszyński P, Konior M, Hydzik-Sobocińska K: Orbital complications of sinusitis treated endoscopically. Przegl Lek. 2008; 65(5):221-4. |
[30] | Sultesz M, Csakanyi Z, Majoros T, Farkas Z, Katona G: Acute bacterial rhinosinusitis and its complications in our pediatric otolaryngological department between 1997 and 2006. Int J Pediatr Otorhinolaryngol. 2009; 73:1507–1512. |
[31] | Velasco e Cruz AA, Demarco RC, Pereira FC, Santos AC, Anselmo-Lima WT, Marquezini RM: Orbital complications of acute rhinosinusitis: a new classification Rev. Bras. Otorrinolaringol. 2007; vol.73 no.5 São Paulo Sept. /Oct. |
[32] | Younis RT, Lazar RH, Bustillo A, Anand VK: Orbital infection as a complication of sinusitis: are diagnostic and treatment trends changing? Ear Nose Throat J. 2002 Nov; 81(11):771. |
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
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
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
@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} }
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 AU - Esam Abd El-Wanis Behery AU - Hassan Gamal El-Din Farahat AU - Osama Mohamed Salah El-Naqib Y1 - 2015/05/06 PY - 2015 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 SP - 1 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 IS - 1 ER -