MR Imaging and Ct of Orbital Infections and Complications in Acute Rhinosinusitis

Eustis, H. Sprague; Mafee, Mahmood F.; Walton, Christopher; Mondonca, Jose

doi:10.1016/s0033-8389(05)70238-4

Cited by 139 publications

(75 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Chemosis, proptosis, pain with eye movement, decreased visual acuity, and limitation of eye movements are known as predictors for orbital cellulitis although these symptoms are not seen uniformly in all cases. Rudloe et al reported that 50.5% of 35 cases with orbital cellulitis did not experience these symptoms 11 . Similarly, our seven (58.3%) cases with orbital cellulitis had ophthalmoplegia, and three of them (25%) also had proptosis.…”

Section: Discussionmentioning

confidence: 99%

Clinical features and outcome of preseptal and orbital cellulitis in hospitalized children: Four years experience

Demir¹

2017

MMJ

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Clinical features and outcome of preseptal and orbital cellulitis in hospitalized children: Four years experience

Demir¹

2017

MMJ

View full text Add to dashboard Cite

“…13) Orbital cellulitis is also a rare complication caused by paranasal sinusitis, which manifests as eyelid swelling, erythema, proptosis, chemosis, decreased extraocular movement, and visual loss as clinical symptoms. 4) Orbital cellulitis usually spreads from contiguous sinusitis, either through normal vascular channels or directly through the bone. 8) Once orbital SPA has developed, rapid elevation of orbital pressure may result and can cause visual impairment.…”

Section: Discussionmentioning

confidence: 99%

“…1) MR imaging shows thrombophlebitis of the superior ophthalmic vein as an enlarged vein that appears less hypointense than the contralateral normal ophthalmic vein. 4) The Goodwin-Souliere protocol recommends initial medical treatment for children with clinical and CT evidence of orbital subperiosteal abscess, provided that initial visual acuity is better than 20/60, visual acuity does not worsen at any time, there is no evidence of intracranial involvement, and the children show evidence of improvement in orbital edema and extraocular movements within 48 hours of treatment initiation. 7,20) Standard surgical procedures for most cases of orbital SPA include incision and drainage because of poor antibiotic penetration and inability to drain spontaneously.…”

Section: Discussionmentioning

confidence: 99%

Clival Inflammation With Cavernous Sinus Thrombophlebitis and Orbital Subperiosteal Abscess -Case Report-

Nakamura

Kawamata

Kobayashi

et al. 2010

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

A 64-year-old woman presented with a very rare case of three infectious lesions, cavernous sinus thrombophlebitis, clival inflammation, and orbital subperiosteal abscess (SPA), manifesting as abducens palsy. An isolated non-specific mass in upper clivus was initially suspected to be derived from paranasal sinusitis. The clival lesion was approached by an endonasal transsphenoidal route and diagnosed as inflammation. However, progressive enlargement of an orbital mass was recognized, with eyelid erythema and swelling. Magnetic resonance imaging showed massive paranasal sinusitis and an intra-orbital mass, which was proved to be an orbital SPA by open surgery. Cavernous sinus thrombophlebitis might have been caused by primary paranasal sinusitis, and the origin of orbital cellulitis was suspected to be cavernous sinusitis based on the preoperative radiological findings. These unusual lesions should be kept in mind as one of the differential diagnoses.

show abstract

“…Periorbitary venous drainage is carried out by valveless veins that interconnect the paranasal sinuses with the orbit, the cavernous sinus and the facial tissue 10,12,16 . This free system of anastomosis allows phlebitis and thrombophlebitis to progress and invade these adjacent structures 17 .…”

Section: Introductionmentioning

confidence: 99%

Sinusite aguda em crianças: estudo retrospectivo de complicações orbitárias

Neto

Pignatari

Mitsuda

et al. 2007

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

Among the complications of sinusitis, those that involve the orbital region are the most frequent. Aim: the objective of this paper is to show an incidence of orbital cellulites (OC) secondary to acute sinusitis in children. Study design: retrospective. Methods: After board approval, the charts of all pediatric patients diagnosed with orbital complications secondary to sinusitis, seen at the Pediatric and at the ENT clinics of the HPEV, between 1985 and 2004, were evaluated. The data was analyzed considering gender, age, clinical presentation, period of hospitalization, image study, and treatment. Results: from 1985 to 2004, 25 patients were diagnosed with OC secondary to sinusitis, presenting an incidence of 6% . Males predominated, the median age was 6.5 years, and the maxillary was the most frequently involved sinus. Twenty-four patients presented mild periorbital swallowing. All 25 patients presented X-Ray alterations. One patient with proptosis had a subperiosteal abcess seen on the CT-scan. The average time of hospitalization was 4 days. All 25 patients received IV antibiotics, 2 required surgery. Conclusion: The incidence of orbital complications secondary to sinusitis is low, and although the majority of cases are early diagnosed and respond well to medication treatment, a surgical intervention may be required.

show abstract

MR Imaging and Ct of Orbital Infections and Complications in Acute Rhinosinusitis

Cited by 139 publications

References 37 publications

Clinical features and outcome of preseptal and orbital cellulitis in hospitalized children: Four years experience

Clinical features and outcome of preseptal and orbital cellulitis in hospitalized children: Four years experience

Clival Inflammation With Cavernous Sinus Thrombophlebitis and Orbital Subperiosteal Abscess -Case Report-

Sinusite aguda em crianças: estudo retrospectivo de complicações orbitárias

Contact Info

Product

Resources

About