Complications of sinusitisComplications of sinusitis

OrbitalOrbital Osteomyelitis of Maxilla and Frontal boneOsteomyelitis of Maxilla and Frontal bone MucoceleMucocele Locoregional complicationsLocoregional complications

Pharyngitis, laryngitis, otitis mediaPharyngitis, laryngitis, otitis media Intracranial complicationsIntracranial complications

Meningitis, intracranial abscess, Meningitis, intracranial abscess, cavernous sinus thrombosiscavernous sinus thrombosis

Orbital ComplicationsOrbital Complications

Orbital cellulitisOrbital cellulitis Orbital abscessOrbital abscess

Mode of SpreadMode of Spread DirectDirect Thrombophlebitis of vesselsThrombophlebitis of vessels

PresentationPresentation Aching around the orbitAching around the orbit Edema of conjunctivaEdema of conjunctiva Proptosis- laterProptosis- later BlindnessBlindness

Treatment- IV Abs and Nasal decongestantsTreatment- IV Abs and Nasal decongestants

Orbital ComplicationsOrbital Complications

AbscessAbscess Direct spreadDirect spread

ProptosisProptosis Restriction of eye movementsRestriction of eye movements BlindnessBlindness

Loss of red color vision before other colors and Loss of red color vision before other colors and visual cauityvisual cauity

CT scanCT scan TreatmentTreatment

Urgent drainageUrgent drainage

OsteomyelitisOsteomyelitis

Occurs where there is diploic boneOccurs where there is diploic bone Maxailla in children and Frontal in adultsMaxailla in children and Frontal in adults MaxillaMaxilla

Painful swelling of the cheek and lower eye Painful swelling of the cheek and lower eye lidlid

CTCT TreatmentTreatment IV ABs and debridementIV ABs and debridement

Osteomyelitis….Osteomyelitis….

Frontal BoneFrontal Bone Dangerous and more extensive.Dangerous and more extensive. Dull local pain and swelling of the upper Dull local pain and swelling of the upper

eye lid.eye lid. Potts puffy tumorPotts puffy tumor High risk if intracranial complicationsHigh risk if intracranial complications

TreatmentTreatment IV ABs and debridementIV ABs and debridement

MucoceleMucocele

Frontal, Ethmoid, Maxillary, SphenoidFrontal, Ethmoid, Maxillary, Sphenoid Due to permanent blockage of the drainageDue to permanent blockage of the drainage

collection of sterile mucous, gradually expands and collection of sterile mucous, gradually expands and causes erosion of sinus walls from pressurecauses erosion of sinus walls from pressure

PresentationPresentation Headache and swellingHeadache and swelling Displacement of the eye ballDisplacement of the eye ball

TreatmentTreatment Endoscopic vs open techniques for drainageEndoscopic vs open techniques for drainage Open techniquesOpen techniques

FrontoethmoidectomyFrontoethmoidectomy Osteoplastic flap operationOsteoplastic flap operation

Locoregional ComplicationsLocoregional Complications

Generalized PharyngitisGeneralized Pharyngitis Granular PharyngitisGranular Pharyngitis TonsillitisTonsillitis LaryngitisLaryngitis Otiis mediasOtiis medias

Intracranial complicationsIntracranial complications

Complications arise formComplications arise form FrontalFrontal EtmoidEtmoid SphenoidSphenoid

Mode of SpreadMode of Spread DirectDirect Retrograde thrombophlebitisRetrograde thrombophlebitis

Meningitis- commonestMeningitis- commonest Intracranial abscessIntracranial abscess

ExtraduralExtradural SubduralSubdural CerebralCerebral

EncephalitisEncephalitis Cavernous sinus thrombophlebitisCavernous sinus thrombophlebitis

Intracranial complicationsIntracranial complications

MeningitisMeningitis LP and C/SLP and C/S IV AbsIV Abs

Cavernous Sinus ThrombophlebitisCavernous Sinus Thrombophlebitis High fever with chills and rigorsHigh fever with chills and rigors Edema of conjunctivaEdema of conjunctiva ProptosisProptosis OphthalmoplegiaOphthalmoplegia BlindnessBlindness Reduced level of conciousnessReduced level of conciousness DeathDeath CT/MRICT/MRI High index of suspicianHigh index of suspician IV AbsIV Abs

Intracranial AbscessesIntracranial Abscesses Surgical intervention by neurosurgeonSurgical intervention by neurosurgeon