<p class="abstract"><strong>Background:</strong> Even though sinusitis is a common clinical entity, its complications are seen rarely after the advent of antibiotics. Hence we aimed to analyse varied clinical presentations and manifestations of orbital involvement in paranasal sinus diseases and their outcome.</p><p class="abstract"><strong>Methods:</strong> Hospital based prospective study done from January 2007 to December 2017. We selected 65 patients in our study based on our inclusion and exclusion criteria. Type of orbital involvement was analysed by computed tomography scan. Immediate aggressive medical management was started and surgery was undertaken if there is no clinical improvement in 48 hours. Endoscopic sinus surgery done along with orbital decompression and drained pus was sent for culture sensitivity. Patients were followed up regularly and suction clearance was done.  </p><p class="abstract"><strong>Results:</strong> Out of 65 patients, 50 were male and 15 were female. 24 patients had bacterial pathology, 40 had fungal pathology and 1 patient had non specific inflammatory disease consistent with mucocoele. Out of 24 bacterial sinusitis, 2 had bilateral disease and 1 patient had scalp and neck extension. Out of 40 fungal sinusitis, 2 patients had 6th cranial nerve palsy with sphenoid disease, 5 patients had palatal extension and 8 patients had intracranial involvement.</p><p class="abstract"><strong>Conclusions:</strong> All cases of orbital oedema and proptosis should be thoroughly evaluated for sinus disease. Computed tomography aids to know the extent of disease, deciding about the type and mode of intervention. Early diagnosis and immediate intervention reduces significant mortality and morbidity. However regular follow up, counselling the patients and relatives helps in achieving appropriate outcome.</p>

<p class="abstract"><strong>Background:</strong> Preoperative angiographic embolization of major feeding vessels is performed for vascular tumours and has become a valuable, even necessary tool in the surgical treatment of vascular lesions and is likely to improve the results of subsequent surgery.</p><p class="abstract"><strong>Methods:</strong> We have treated six patients, all males, aged between 16-22 years. The patients were informed of the treatment strategy, and their interventions were carried out in accordance with local and general ethical standards and principles. All patients presented with nasal obstruction and epistaxis. Routine blood investigations were done and contrast enhanced CT was done to all patients to know the site of origin, size and extend of the tumour. Five patients were treated with preoperative embolization, whilst one underwent surgery without embolization.</p><p class="abstract"><strong>Results:</strong> The outcome of the surgery in six patients were evaluated and interpreted. Patients who underwent sub selective embolization (SSE) had lowest morbidity and blood loss when compared to the one operated without embolization.</p><p class="abstract"><strong>Conclusions:</strong> Embolization has a vital role to play in many aspects of otolaryngological practice. Using this safe technique of SSE, we achieved a significant shortening of time for surgical removal of the tumour as well as a reduction of total perioperative blood loss.</p>