EVALUATION OF TRANSNASAL ENDOSCOPIC APPROACH IN THE TREATMENT OF ORBITAL COMPLICATIONS OF RHINOSINUSITIS.

Document Type : Preliminary preprint short reports of original research

Authors

Department of Otorhinolaryngology, Faculty of Medicine, Alexandria University

Abstract

Complications of rhinosinusitis, though reduced in frequency with modern antibiotics, remain clinically important and are classified as orbital, intracranial, or bony. Orbital complications are the most common, particularly in children, due to the proximity of the ethmoid sinus to the orbit. The Chandler classification outlines five progressive orbital stages: preseptal cellulitis, orbital cellulitis, subperiosteal abscess, orbital abscess, and cavernous sinus thrombosis. Management requires timely intervention to prevent vision loss and intracranial spread. Early stages such as preseptal and orbital cellulitis are usually treated with medical treatment. Subperiosteal abscesses may be medically managed in selected young patients with favorable features, but surgical drainage is required when vision deteriorates, antibiotics fail, or there is risk of intracranial extension.

THE AIM:

The aim of this study was to illustrate the Department of Otorhinolaryngology of Alexandria university experience with the transnasal endoscopic approach for the treatment of orbital complications of rhinosinusitis and to assess the outcome and safety of transnasal endoscopic approach as a minimally invasive approach for the management of orbital complications of rhinosinusitis.

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