Öz
Despite the widespread use of antibiotics in cases of sinusitis, still some complications may occur. Periorbital cellulitis is a clinical condition that usually seen in childhood and inflammation occurs in ethmoid sinuses causing eyelid edema, hyperemia and ocular pain, but seeing is generally unaffected, and rarely it is accompanied by the abscess. Our case was adult male patient and periorbital cellulitis was present caused by a defect in the frontal sinus. This is the difference from other cases. Functional endoscopic sinus surgery was present at 3 years ago in history of the patient who had no history of trauma. It has been detected in 'thin-section CT that periorbital cellulites of our patient caused by the defect in the wall of the frontal sinus in the course of acute sinusitis and then, abscess formation occurred. Parenteral antibiotic therapy was given to the patient who was hospitalized. On the 5th day of treatment, the patient's clinical improvement was observed. Frontoetmoidal medial orbitotomy (Lynch) incision was made to the patient in operation and the defect was found to be approximately 2-3 mm in diameter in the anterior wall of the frontal sinus and it was repaired with bone cement. Ethiopathogenesis of this type of defect may be mukopiyosel, trauma etc. as well as iatrogenic trauma. In this case, we offer an atypical case of periorbital cellulitis caused by the defect in the anterior wall of the frontal sinus in acute sinusitis attacks discussing in the light of literature
Anahtar Kelimeler
Periorbital cellulitis; frontal sinus defect; acute sinusitis
Kaynakça
- Lanza DC, Kennedy DW. Adult Rhinosinusitis defined. Otolaryngol-Head and Neck Surg 1997; 3: 107.
- Wolf SR, Göde U, Hosemann W. Endonasal endoscopic surgery for rhinogen intraorbital abscess: A report of six cases. Laryngoscope 1996; 106: 105-10.
- Oliverio PJ, Benson ML, Zinreich SJ. Update on imaging for functional endoscopic sinus surgery. Otolaryngol Clin North Am 1995; 28: 585-608.
- Önerci M, Haberal İ. Sinüzit. Çelik O. Kulak Burun Boğaz Hastalıkları ve Baş Boyun Cerrahisi. İstanbul: Turgut Yayıncılık 2002; 411-33.
- Watkins LM, Pasternack MS, Banks M, Kousoubris P, Rubin PAD. Bilateral Cavernous Sinus Thromboses and Intraorbital Abscesses Secondary to Streptococcus milleri. Ophthalmology 2003; 110: 569-74.
- Hytonen M, Atula T, Pıtkaranta A. Complications of Acute Sinusitis in Children. Acta Otolaryngol Suppl 2000; 543: 154-7.
- Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope 1970; 80: 1414-28.
- Domville-Lewis C, Friedland PL, Santa Maria PL. Pott’s puffy tumour and intracranial complications of frontal sinusitis in pregnancy. J Laryngol Otol 2013; 127: 35-8.
- Jones H, Trinidade A, Jaberoo MC, Lyons M. Periorbital cellulitis, subgaleal abscess and superior sagittal sinus thrombosis: A rare combination of complications arising from unilateral frontal sinusitis. J Laryngol Otol 2012; 126: 1281-3.
- Allan K, Atkinson H, Agada F. Posterior orbital cellulitis: Case report and literature review. J Laryngol Otol 2013; 127: 1148-51.
- Johnson JT, Infections. In: Krause CJ. Otolaryngology-Head and Neck Surgery, Second Edition. Mosby Year Book 1993: 929-40.
- Younis RT, Lazar RH, Bustillo A, Anand VK. Orbital infection as a complication of sinusitis are diagnostic and treatment trends changing? Ear Nose Throat J 2002; 81: 771-5.
- Migirov L, Yakirevitch A, Bedrin L, Wolf M. Endoscopic sinus surgery for medial orbital subperiosteal abscess in children. J Otolaryngol Head Neck Surg 2009; 38: 504-8.
- Weber R, Draf W, Keerl R. Osteoplastic frontal sinus surgery with fat obliteration: Technique and long-term results using magnetic resonance imaging in 82 operations. Laryngoscope 2000; 110: 1037-44.
Akut sinüzit atağında frontal sinüs ön duvarındaki defekte bağlı olarak gelişen periorbital selülit: Olgu sunumu
Öz
Sinüzit olgularında antibiyoterapi yaygın olarak kullanılmasına rağmen hala bir takım
komplikasyonlar görülebilmektedir. Periorbital selülit daha çok çocukluk döneminde ve etmoid
sinüslerin enflamasyonu ile ortaya çıkan göz kapağında ödem, hiperemi ve oküler ağrının hakim
olduğu fakat görmenin etkilenmediği, nadirende apsenin eşlik ettiği bir klinik durumdur. Bizim
olgumuz erişkin erkek hasta idi ve frontal sinüsteki defektten kaynaklanan periorbital selüliti
mevcuttu. Bu hali ile diğer olgulardan farklılık gösteriyordu. Anamnezinde üç yıl önce fonksiyonel
endoskopik sinüs cerrahisi geçirdiğini belirten hastanın travma öyküsü bulunmuyordu. Hastamızda
periorbital selilüte neden olan durumun akut sinüzit seyrinde frontal sinüs duvarındaki defekten
meydana geldiği ve apse formasyonuna yol açtığını ‘ince kesit tomografi’ ile tespit edildi. Servise
yatırılan hastaya, parenteral antibiyoterapi başlandı. Hastanın klinik tablosunun tedavinin 5.
gününde düzeldiği görüldü. Operasyona alınan hastaya yapılan frontoetmoidal medial orbitotomi
(Lynch) insizyonu sonrası frontal sinüs ön duvarındaki defektinin yaklaşık 2-3 mm çapında olduğu
görüldü ve bonecement ile onarıldı. Bu tür defektlerde, etiyopatogenezde mukopiyosel, travma vs.
olabileceği gibi iatrojenik travmalar da olabilir. Bu olguda akut sinüzit atağında frontal sinüs ön
duvarındaki defektten meydana gelen atipik bir periorbital selülit olgusunu literatür eşliğinde
tartışarak sunuyoruz.
Anahtar Kelimeler
Kaynakça
- Lanza DC, Kennedy DW. Adult Rhinosinusitis defined. Otolaryngol-Head and Neck Surg 1997; 3: 107.
- Wolf SR, Göde U, Hosemann W. Endonasal endoscopic surgery for rhinogen intraorbital abscess: A report of six cases. Laryngoscope 1996; 106: 105-10.
- Oliverio PJ, Benson ML, Zinreich SJ. Update on imaging for functional endoscopic sinus surgery. Otolaryngol Clin North Am 1995; 28: 585-608.
- Önerci M, Haberal İ. Sinüzit. Çelik O. Kulak Burun Boğaz Hastalıkları ve Baş Boyun Cerrahisi. İstanbul: Turgut Yayıncılık 2002; 411-33.
- Watkins LM, Pasternack MS, Banks M, Kousoubris P, Rubin PAD. Bilateral Cavernous Sinus Thromboses and Intraorbital Abscesses Secondary to Streptococcus milleri. Ophthalmology 2003; 110: 569-74.
- Hytonen M, Atula T, Pıtkaranta A. Complications of Acute Sinusitis in Children. Acta Otolaryngol Suppl 2000; 543: 154-7.
- Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope 1970; 80: 1414-28.
- Domville-Lewis C, Friedland PL, Santa Maria PL. Pott’s puffy tumour and intracranial complications of frontal sinusitis in pregnancy. J Laryngol Otol 2013; 127: 35-8.
- Jones H, Trinidade A, Jaberoo MC, Lyons M. Periorbital cellulitis, subgaleal abscess and superior sagittal sinus thrombosis: A rare combination of complications arising from unilateral frontal sinusitis. J Laryngol Otol 2012; 126: 1281-3.
- Allan K, Atkinson H, Agada F. Posterior orbital cellulitis: Case report and literature review. J Laryngol Otol 2013; 127: 1148-51.
- Johnson JT, Infections. In: Krause CJ. Otolaryngology-Head and Neck Surgery, Second Edition. Mosby Year Book 1993: 929-40.
- Younis RT, Lazar RH, Bustillo A, Anand VK. Orbital infection as a complication of sinusitis are diagnostic and treatment trends changing? Ear Nose Throat J 2002; 81: 771-5.
- Migirov L, Yakirevitch A, Bedrin L, Wolf M. Endoscopic sinus surgery for medial orbital subperiosteal abscess in children. J Otolaryngol Head Neck Surg 2009; 38: 504-8.
- Weber R, Draf W, Keerl R. Osteoplastic frontal sinus surgery with fat obliteration: Technique and long-term results using magnetic resonance imaging in 82 operations. Laryngoscope 2000; 110: 1037-44.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 4 Eylül 2014 |
| Yayımlandığı Sayı | Yıl 2014Cilt: 36 Sayı: 4 |