Orbital abscess as a complication of frontal sinus trauma
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2013, Vol 2, Issue 3
Abstract
In recent years the nu mber of frontal sinus trauma is increasing due to a large nu mber of traffi c accidents , doing sports and fi ghts. Frontal sinus trauma occurs in 5– 12% of facial skeleton fractures. Complications of sinusitis are divided into early complications, till 6 weeks from the trauma and late complication s whi ch occur after this period of time. In this paper w e described a 33-year-old patient, who suffe red from acute sinusitis complicated with orbital abscess of right eye. Nine years before this disease he sustained an injury of head in which ante rior and inferior w all of right frontal sinus were broken. The patient un derwent a functiona l endoscopic sinus surgery w ith enlargement of the frontal sinus ost ium and across extern al approach, throu gh bon e defect in infe rior wall of front al sin us, the frontal sinus and orbital abscess w ere drainage d. The patient healed well within 2 weeks. Non-complica ted fractures of facial skeleton can be dangerous, and through them the infl ammation can spread to ad jacent tissues. Reconstru ction of the bone defects should be taken into consid eration in such cases.
Authors and Affiliations
Tomasz Misiura, Ewa Komoń-Kotecka, Krzysztof Morawski, Dariusz Kaczmarczyk
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