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Orbital complications of acute rhinosinusitis: a new classification.
- Source :
-
Brazilian journal of otorhinolaryngology [Braz J Otorhinolaryngol] 2007 Sep-Oct; Vol. 73 (5), pp. 684-8. - Publication Year :
- 2007
-
Abstract
- Unlabelled: Rhinosinusitis is a severe sickness and may have serious complications. Orbital complications happen more often, due to anatomical particularities and are lethal in 5% of patients. They vary from inflammatory signs to proptosis, loss of ocular motility and blindness.<br />Aim: We propose a new classification of acute rhinosinusitis complications.<br />Methods: A review of 83 patients with CT scan and clinical reports. Patients were evaluated at HCFMRP-USP between 1995 and 2005 and were diagnosed with complicated rhinosinusitis.<br />Results: In sixty-six patients, were identified three types of orbital complications: orbital cellulitis (46.9%), subperiosteal abscess (40.9%) and orbital abscess (12.1%). Seventeen were considered as eyelid infections and excluded from this new classification system.<br />Conclusions: The existing classifications of orbital complications, as Chandlers, do not consider the orbits anatomical characteristics and became obsolete after the development of the CT scan. This study proposes a new, more objective classification to guide the physician in establishing lines of conduct for each case.
- Subjects :
- Abscess diagnostic imaging
Acute Disease
Adolescent
Adult
Aged
Cellulitis diagnostic imaging
Child
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Orbital Diseases classification
Orbital Diseases diagnostic imaging
Retrospective Studies
Rhinitis diagnostic imaging
Sinusitis diagnostic imaging
Tomography, X-Ray Computed
Abscess etiology
Cellulitis etiology
Orbital Diseases etiology
Rhinitis complications
Sinusitis complications
Subjects
Details
- Language :
- English
- ISSN :
- 1808-8694
- Volume :
- 73
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Brazilian journal of otorhinolaryngology
- Publication Type :
- Academic Journal
- Accession number :
- 18094811
- Full Text :
- https://doi.org/10.1016/s1808-8694(15)30130-0