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KMID : 0388419960050020183
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Konkuk Journal of Medical Sciences
1996 Volume.5 No. 2 p.183 ~ p.188
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A Case of Acute Ethmoiditis Induced Periorbital Cellulitis Treated with Endoscopic Sinus Surgery
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Abstract
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Inflammation involving the orbit is an omnious physical sign representing a threat to vision and life. Seventy-five percent of bacterial infections in the orbit are caused by paranasal sinusitis, usually ethmoiditis medially, less commonly from
the
frontal sinusitis above or maxillary sinusitis below. Orbital complication induced by acute sinusitis is a rare condition in nowadays since the advent of antibiotics.
We report a case of treatment for periorbital cellulitis induced by acute ethmoiditis. A 37-year-old male patient visited the otolaryngologic out patient clinical with symptom of severe headache around loft orbital area for 2 days. The physical
examination revealed no gross abnormality on the face except mucopurulent discharges from the left middle meatus. A plain paranasal sinus films showed partial haziness in the left ethmoid sinus and frontal sinus. The patient was admitted due to a
severe
headache. On the evening of admission day the patients left eyeball was protruded and periorbital edema occured. Although the administration of maximal doses of parenteral antibiotics, the edema and protrusio of left eyeball became worse. The
orbital
sonogram showed cellulitis in the left orbital area and the PNS CT scan showed left ethmoiditis and frontal sinusitis. An emergency intranasal ethmoidectomy under the endoscopic control was performed on the third admission day. On the sixth
post-operative day the patient was discharged without any orbital sequela. We report this case with review of the literature.
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