Atypical course of orbital complication in acute rhinosinusitis – a case report

Czech version

Authors: K. Červený; Z. Balatková; D. Kalfeřt; J. Plzák
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN v Motole, Praha
Published in: Otorinolaryngol Foniatr, 73, 2024, No. 4, pp. 251-259.
Category: Case Reports
doi: https://doi.org/10.48095/ccorl2024251

Overview

Inflammatory conditions affecting the soft tissues of the orbit (orbitocellulitis) are one of the most common complications of acute rhinosinusitis affecting both children and adult patients. Although they are rather rare in today‘s antibiotic era (incidence is in percent units), it is still a condition that threatens the patient not only with loss of vision, but also with life, requiring early and correct treatment. Our case shows the course of complicated orbitocellulitis in a 31-year-old internally healthy patient hospitalized in our clinic. Despite early surgical intervention and drainage of the medial abscess mass in the orbit, there was only temporary improvement, while another abscess cavity was found laterally in the orbit, necessitating reoperation and drainage of the abscess by an external approach. Therapeutic process and used diagnostics and treatment are described in this case report. Symptomatology, recommended management of diagnostics and treatment of complications of acute rhinosinusitis are discussed.

Keywords:

FESS – rhinosinusitis – complications – orbitocellulitis – phlegmon

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ORCID autorů

K. Červený 0000-0002-4819-9069,

Z. Balatková 0000-0003-1121-9836,

D. Kalfeřt 0000-0003-4369-4113,

J. Plzák 0000-0003-3710-4455.

Přijato k recenzi: 19. 10. 2023

Přijato k tisku: 23. 1. 2024

MUDr. Květoslav Červený

Klinika otorinolaryngologie a chirurgie hlavy a krku

1. LF UK a FN v Motole

V Úvalu 84

150 06 Praha 5