Skip to main content

Orbital Complications of Frontal Sinusitis

  • Chapter
  • First Online:
The Frontal Sinus

Abstract

The most common cause of orbital infections is sinusitis, most commonly arising from the ethmoid sinuses. However, frontal sinusitis complications may progress rapidly and result in worse outcomes.

Financial Disclosures

Manes: consultant (Medtronic)

Marple: consultant (Teva, Sunovian)

Batra: Research grants (ARS, Medtronic), consultant (Medtronic)

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Altman KW, Austin MB, Tom LWC, et al. Complications of frontal sinusitis in adolescents: case presentations and treatment options. Int J Pediatr Otorhinolaryngol. 1997;41:9–20.

    Article  CAS  PubMed  Google Scholar 

  2. Antila J, Suonpaa J, Lehtonen O. Bacteriological evaluation of 194 patients with acute frontal sinusitis and findings of simultaneous maxillary sinusitis. Acta Otolaryngol Suppl. 1997;529:162–9.

    Article  CAS  PubMed  Google Scholar 

  3. Barone S, Aiuto L. Periorbital and orbital cellulitis in the Haemophilus influenza vaccine era. J Pediatr Ophthalmol Strabismus. 1997;34:293–6.

    CAS  PubMed  Google Scholar 

  4. Bedrossian EH. Surgical anatomy of the orbit. In: Della Rocca RC, Bedrossian EH, Arthurs BP, editors. Ophthalmic plastic surgery: decision making and techniques. New York: McGraw-Hill; 2002. p. 207–27.

    Google Scholar 

  5. Bedrossian EH. Surgical anatomy of the eyelids. In: Della Rocca RC, Bedrossian EH, Arthurs BP, editors. Ophthalmic plastic surgery: decision making and techniques. New York: McGraw-Hill; 2002. p. 25–41.

    Google Scholar 

  6. Brook I. Microbiology and antimicrobial treatment of orbital and intracranial complications of sinusitis in children and their management. Int J Pediatr Otorhinolaryngol. 2009;73:1183–6.

    Article  PubMed  Google Scholar 

  7. Chadha NK. An evidence-based staging system for orbital injections from acute rhinosinusitis. Laryngoscope. 2012;122:S95–6.

    Article  PubMed  Google Scholar 

  8. Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 1970;80:1414–28.

    Article  CAS  PubMed  Google Scholar 

  9. Choi SS, Grundfast KM. Complications in sinus disease. In: Kennedy DW, Bolger WE, Zinreich SJ, editors. Diseases of the sinuses: diagnosis and management. Ontario: B.C. Decker; 2001. p. 169–77.

    Google Scholar 

  10. Clary RA, Cunningham MJ, Eavey RD. Orbital complications of acute sinusitis: comparison of computed tomography scan and surgical findings. Ann Otol Rhinol Laryngol. 1992;101:598–600.

    Article  CAS  PubMed  Google Scholar 

  11. Davis JP, Stearns MP. Orbital complications of sinusitis: avoid delays in diagnosis. Postgrad Med J. 1994;70:108–10.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Dolan RW, Chowdhury K. Diagnosis and treatment of intracranial complications of paranasal sinus infection. J Oral Maxillofac Surg. 1995;53:1080–7.

    Article  CAS  PubMed  Google Scholar 

  13. Eustis H, Armstrong D, Buncic J, et al. Staging of orbital cellulitis in children: computerized tomography characteristics and treatment guidelines. J Pediatr Ophthalmol Strabismus. 1986;23:246–51.

    CAS  PubMed  Google Scholar 

  14. Fakhri S, Pereira K. Endoscopic management of orbital abscesses. Otolaryngol Clin N Am. 2006;39:1037–47.

    Article  Google Scholar 

  15. Garcia CE, Cunningham MJ, Clary RA, et al. the etiologic role of frontal sinusitis in pediatric orbital abscesses. Am J Otolaryngol. 1993;14:449–52.

    Article  CAS  PubMed  Google Scholar 

  16. Goodwin WJ. Orbital complications of ethmoiditis. Otolaryngol Clin N Am. 1995;18:139–47.

    Google Scholar 

  17. Goldberg AN, Oroszlan G, Anderson TD. Complications of frontal sinusitis and their management. Otolaryngol Clin N Am. 2001;34:211–25.

    Article  CAS  Google Scholar 

  18. Hawkins DB, Clark RW. Orbital involvement in acute sinusitis. Clin Pediatr. 1977;16:464–71.

    Article  CAS  Google Scholar 

  19. Healy GB. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 1997;107:441–6.

    Article  CAS  PubMed  Google Scholar 

  20. Herrmann BW, Forsen JW. Simultaneous intracranial and orbital complications of acute rhinosinusitis in children. Int J Pediatr Otorhinolaryngol. 2004;68:619–25.

    Article  PubMed  Google Scholar 

  21. Hubert L. Orbital infections due to nasal sinusitis. N Y Med J. 1937;37:1559–64.

    Google Scholar 

  22. Kendall KA, Senders CW. Orbital and intracranial complications of sinusitis in children and adults. In: Gershwin ME, Incaudo GA, editors. Diseases of the sinuses: a comprehensive textbook of diagnosis and treatment. Totowa: Humana Press; 1996. p. 247–72.

    Chapter  Google Scholar 

  23. Khalifa BC. Extent of resection of the lamina papyracea in medial subperiosteal abscess. Otolaryngol Head Neck Surg. 2011;145:161–4.

    Article  PubMed  Google Scholar 

  24. McLaughlin RB, Rehl RM, Lanza DC. Clinically relevant frontal sinus anatomy and physiology. Otolaryngol Clin N Am. 2001;34:1–22.

    Article  Google Scholar 

  25. Migirov L, Yakirevitch A, Bedron L, et al. Endoscopic sinus surgery for medial orbital subperiosteal abscess in children. J Otolaryngol Head Neck Surg. 2009;38:504–8.

    PubMed  Google Scholar 

  26. Moloney JR, Badham NJ, McRae A. The acute orbit, preseptal (periorbital) cellulitis, subperiosteal abscess and orbital cellulitis due to sinusitis. J Laryngol Otol. 1987;101(12supp):1–18.

    Google Scholar 

  27. Morgan PR, Morrison WV. Complications of frontal and ethmoid sinusitis. Laryngoscope. 1980;90:661–6.

    Article  CAS  PubMed  Google Scholar 

  28. Mortimore S, Wormald PJ. The Goote-Schuur hospital classification of the orbital complications of sinusitis. J Laryngol Otol. 1997;111:719–23.

    Article  CAS  PubMed  Google Scholar 

  29. Mortimore S, Wormald PJ. Management of acute complicated sinusitis: a five year review. Otolaryngol Head Neck. 1999;121:639–42.

    Article  CAS  Google Scholar 

  30. Nageswaran S, Woods C, Benjamin D, et al. Orbital cellulitis in children. Pediatr Infect Dis J. 2006;25:695–9.

    Article  PubMed  Google Scholar 

  31. Nathoo N, Nadvi SS, van Dellen JR, et al. Intracranial subdural empyemas in the era of computed tomography: a review of 699 cases. Neurosurgery. 1999;44:529–36.

    Article  CAS  PubMed  Google Scholar 

  32. Nerad JA. Clinical anatomy. In: Nerad JA, Krachmer JH, editors. Occuloplastic surgery: the requisites in ophthalmology. St. Louis: Mosby; 2001. p. 25–70.

    Google Scholar 

  33. Osguthorpe JD, Hochman M. Inflammatory sinus diseases affecting the orbit. Otolaryngol Clin N Am. 1993;26:657–71.

    CAS  Google Scholar 

  34. Oxford LE, McClay J. Medical and surgical management of subperiosteal orbital abscess secondary to acute sinusitis in children. Int J Pediatr Otorhinolaryngol. 2006;70:1853–61.

    Article  PubMed  Google Scholar 

  35. Patt BS, Manning SC. Blindness resulting from orbital complications of sinusitis. Otolaryngol Head Neck Surg. 1991;104:789–95.

    Article  CAS  PubMed  Google Scholar 

  36. Pena MP, Preciado DA, Orestes M, et al. Orbital complications of acute sinusitis: changes in the post-pneumococcal vaccine era. JAMA Otolaryngol Head Neck Surg. 2013;139:223–7.

    Article  PubMed  Google Scholar 

  37. Roithmann R, Uren B, Pater J, et al. Endoscopic drainage of a superiorly bases subperiosteal abscess. Laryngoscope. 2008;118:162–4.

    Article  PubMed  Google Scholar 

  38. Ryan JT, Preciado DA, Bauman N. Management of pediatric orbital cellulitis in patients with radiographic findings of subperiosteal abscess. Otolaryngol Head Neck Surg. 2009;140:907–11.

    Article  PubMed  Google Scholar 

  39. Schramm VL, Curtin HD, Kennerdell JS. Evaluation of orbital cellulites and results of treatment. Laryngoscope. 1982;92:732–8.

    Article  PubMed  Google Scholar 

  40. Shahin J, Gullane PJ, Dayal VS. Orbital complications of acute sinusitis. J Otolaryngol. 1987;16:23–7.

    CAS  PubMed  Google Scholar 

  41. Souliere CR, Antoine GA, Martin MP, et al. Selective non-surgical management of subperiosteal abscess of the orbit: computerized tomography and clinical course as indication for surgical drainage. Int J Pediatr Otorhinolaryngol. 1990;19:109–19.

    Article  PubMed  Google Scholar 

  42. Wagenmann M, Naclerio RM. Complications of sinusitis. J Allergy Clin Immunol. 1992;90:552–4.

    Article  CAS  PubMed  Google Scholar 

  43. Younis RT, Lazar RH, Bustillo A, et al. Orbital infection as a complication of sinusitis: are diagnostic and treatment trends changing? Ear Nose Throat J. 2001;81:771–5.

    Google Scholar 

  44. Younis RT, Anand VK, Davidson B. The role of computed tomography and magnetic resonance imaging in patients with sinusitis with complications. Laryngoscope. 2002;112:224–9.

    Article  PubMed  Google Scholar 

  45. Shramm VL, Curtin HD, Kennerdell JS. Evaluation of orbital cellulitis and results of treatment. Laryngoscope. 1982;92:732–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pete S. Batra MD, FACS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Manes, R.P., Marple, B.F., Batra, P.S. (2016). Orbital Complications of Frontal Sinusitis. In: Kountakis, S., Senior, B., Draf, W. (eds) The Frontal Sinus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48523-1_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-48523-1_8

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48521-7

  • Online ISBN: 978-3-662-48523-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics