Test, Track and Treat the Devil in the Paranasal Sinuses
Article Sidebar
Main Article Content
Abstract
Introduction
Complications of rhinosinusitis result from progression of acute fungal or bacterial rhinosinusitis beyond the paranasal sinuses, potentially causing significant morbidity from either local or distant spread.
Case Report
A 45year old male patient presented with left sided headache since 8 days, left sided facial pain and swelling since 4 days which rapidly progressed to have pre-maxillay pus pointing and cellulitis. Functional endoscopic sinus surgery (FESS) was planned and intraoperatively inferior turbinectomy and maxillary clearance through the necrosed inferior turbinate was performed.
Discussion
The management of acute fungal rhinosinusitis is surgical debridement by doing FESS. This case report highlights that it may not be the case always. The treatment in the form of maxillary clearance and debridement of necrosed area need to be tailor made according to the disease and involvement as suggested on radiological imaging.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Pradhan P, Samal DK, Preetam C, Parida PK. Intraorbital and Intracranial Complications of Acute Rhinosinusitis: A Rare Case Report. Iran J Otorhinolaryngol. 2018;30(100):301-4
Harugop AS, Bellad SA, Sethunath D, Havaldar RR, Reddy D. Sinusitis with Extensive Neck, Orbit & Scalp Involvement - A Rare Presentation. Madridge J Otorhinolaryngol. 2018; 4(1): 70-72
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; 8(11): 771-5
Harugop AKS, Mudhol RS, Bhimanapati D, Soni S, Bellad SA, Achuta A, et al. Varied orbital manifestations of paranasal sinus disease. Int J Otorhinolaryngol Head Neck Surg. 2019; 5:1061-4
Süslü AE, Oğretmenoğlu O, Süslü N, Yücel OT, Onerci TM. Acute invasive fungal rhinosinusitis: our experience with 19 patients. Eur Arch Otorhinolaryngol. 2009; 266(1):77-82
Arora V, Nagarkar NM, Dass A, Malhotra A. Invasive rhino-orbital aspergillosis. Indian Journal of Otolaryngology and Head & Neck Surgery 2011; 63(4):325-9
Nwaorgu OGB, Awobem FJ, Onakoya PA, Wabem AAA. Orbital cellulitis complicating sinusitis: a 15 year review. Niger J Surg Res. 2004; 6(1-2): 14-6
Chaudhry IA, Shamsi FA, Elzaridi E, et al. Outcome of treated orbital cellulitis in a tertiary eye care centre in the middle East. Ophthalmology 2007; 114(2): 345-54
Stuart AJ, Lloyd GW. Mucormycosis presenting as orbital cellulitis; a case report. Adv Ophthalmol Vis Syst. 2015;3(1):249-51
Wan Y, Shi G, Wang H. Treatment of orbital complications following acute rhinosinusitis in children. Balkan Med J. 2016; 33: 401-6.