Abstract
Purpose: To describe the CT findings of orbital cellulitis due to sinusitis. Methods: The records and CT scans of 45 consecutive patients with orbital cellulitis due to sinusitis treated at the Hospital of the Medical School of Ribeirão Preto were analyzed by a radiologist and two orbital surgeons. Results: Three major types of CT changes were observed: diffuse fat infiltration, subperiosteal abscess and orbital abscess. Diffuse fat infiltration (characterized by an increased density of the extra- or intraconal fat) was seen in 11 patients (24.44%). A subperiosteal abscess was diagnosed in 28 patients (62.23%). A surgically proved orbital abscess was detected in 6 patients (13.33%). Conclusions: In all cases of orbital cellulitis due to sinusitis intraorbital changes can be detected by CT scans either as a diffuse infiltration of the orbital fat or as a detachment of the periorbita (subperiosteal abscess) or a true orbital abscess. Category I of Chandler orbital cellulitis classification (inflammatory edema) must be understood as a stage of a process that is already happening within the orbit and, as the term "preseptal cellulitis" means a palpebral infection, this designation should not be used to stage orbital cellulitis.
Original language | English (US) |
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Pages (from-to) | 513-518 |
Number of pages | 6 |
Journal | Arquivos brasileiros de oftalmologia |
Volume | 69 |
Issue number | 4 |
DOIs | |
State | Published - 2006 |
Externally published | Yes |
Keywords
- Abscess
- Cellulitis/etiology
- Computed tomography
- Orbit
- Sinusitis/complications
- X-ray computed
ASJC Scopus subject areas
- Ophthalmology