Left Extrachoanal Orbital Abscess and Orbital  Cellulitis as A Complication of Ethmoido–Maxillary  Sinusitis

Gafencu Mihai; Dr. Doros Gabriela; Doros Caius; Nilima R. Kundnani; Boruga Ovidiu

Volume : IV, Issue : II, February - 2014

Left Extrachoanal Orbital Abscess and Orbital Cellulitis as A Complication of Ethmoido–Maxillary Sinusitis

Gafencu Mihai, Dr. Doros Gabriela, Doros Caius, Nilima R. Kundnani, Boruga Ovidiu

Abstract :

Ethmoido-maxillary sinusitis in paediatric age group, often gives rise to severe complications such as orbital cellulitis and orbital abscesses, in the absence of proper management. A two-year-old boy presented to the family doctor with rhino-pharyngitis, where he was prescribed Clarithromycine and Non-sterioidal Anti-inflammatory drugs (NSAIDs), for seven days. After two-weeks the child was admitted in our hospital, due to presence of purulent rhinorrhea, fever, malaise, oedema as well as erythema of the left eyelid, orbital pain and conjunctivitis. Complex laboratory tests and interdisciplinary examination including ENT and ophthalmology check-ups were performed. MRI of the head confirmed the diagnosis as it was suspected: Left extrachoanal orbital abscess and orbital cellulitis, as a complication of ethmoido-maxillary sinusitis. Vigorous medical treatment with multi-disciplinary approach solved the case leaving no need for surgical intervention. Hence, teamwork in such diseases is mandatory to obtain favourable evolution.