Vol.102 No.7 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 102 No. 7 July 2009
Six Cases of Orbital Complications Caused by Acute Sinusitis
-Appropriateness of Removing the Orbital Plate-
Ryo Ikoma
(Yokohama City University Medical Center, Yokohama City Minato Red Cross Hospital)
Junichi Ishitoya, Toshiro Kawano and Yoichi Ikeda
(Yokohama City University Medical Center)
Mamoru Tsukuda
(Graduate School of Medicine, Yokohama City University)
Six surgically treated patients with orbital complications caused by acute sinusitis were analyzed. Three presented with orbital abscess, and three presented with orbital subperiosteal abscess. In all cases, the removal of the orbital plate was performed, and, in addition, patients with orbital abscess underwent incision of the periorbita. After surgery, all patients fully recovered from visual disturbances, except for one whose surgery was delayed for 28 days after the orbital symptoms had appeared. Since both the removal of the orbital plate and incision of the periorbita do not involve postoperative complications, these procedures should be performed at an early stage if necessary for the improvement of the visual function.
Key words :removing the orbital plate, orbital abscess, orbital subperiosteal abscess, incision of the
periorbita