External ethmoidectomy for orbital complications of rhinosinusitis

Abstract

Introduction: Acute rhinosinusitis is a very common disorder that at one time or another affects most people. In case of acute rhinosinusitis orbital complications an external ethmoidectomy represents an alternative approach.Case Report: A 22-year-old female patient addressed to the ENT Department presenting left acute pansinusitis, left subperiosteal abscess and left upper eyelid.ENT clinic and endoscopic 0º exam revealed middle meatus purulent material rhynopharynx with purulent secretions. A maxillary sinus lavage (+++) and silicon tube insertion was performed. The patient was addressed for a contrast enhancement CT exam. In the following day we performed left external ethmoidectomy, left subperiosteal and upper eyelid abscesses drainage. One week later the signs and symptoms were resolved. The evolution was favorable. The patient underwent a CT scan at 1 month after surgery, which revealed a normal aeration of the paranasal sinuses.Conclusion: Orbital and nasal signs and symptoms at one month after the surgical procedure were resolved, the patient presented a slight left proptosis.Der Erstautor gibt keinen Interessenkonflikt an