TY - JOUR
T1 - Orbital complications of acute rhinosinusitis
T2 - A new classification
AU - Cruz, Antonio Augusto Velasco
AU - Demarco, Ricardo Cassiano
AU - Valera, Fabiana Cardoso Pereira
AU - Dos Santos, Antônio Carlos
AU - Anselmo-Lima, Wilma Therezinha
AU - Marquezini, Regina Maria Da Silva
PY - 2007
Y1 - 2007
N2 - 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. Aim: We propose a new classification of acute rhinosinusitis complications. 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. 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. Conclusions: The existing classifications of orbital complications, as Chandler's, do not consider the orbit's 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. All Rights reserved
AB - 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. Aim: We propose a new classification of acute rhinosinusitis complications. 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. 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. Conclusions: The existing classifications of orbital complications, as Chandler's, do not consider the orbit's 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. All Rights reserved
KW - Complicated acute rhinusinusitis
KW - Orbital abscess
KW - Orbital cellulitis
KW - Orbital complications
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U2 - 10.1016/s1808-8694(15)30130-0
DO - 10.1016/s1808-8694(15)30130-0
M3 - Article
C2 - 18094811
AN - SCOPUS:43549094066
SN - 1808-8694
VL - 73
SP - 684
EP - 688
JO - Brazilian Journal of Otorhinolaryngology
JF - Brazilian Journal of Otorhinolaryngology
IS - 5
ER -