| Abstrakt: |
Introduction: The most prevalent complications of rhinosinusitis are orbital complications, accounting for 60 to 75% of cases. Chandler, 1970, classified these complications into 5 groups, with group 3 involving subperiosteal abscesses, formed between the lamina papyracea and the periorbita. In this complication, the eyeball is displaced by a purulent collection, leading to edema, ocular muscle dysfunction, pain on movement, visual impairment and proptosis. Treatment involves broad-spectrum intravenous antibiotic therapy, with some cases benefiting from a surgical approach. Objectives: To report the case of a patient with a subperiosteal abscess within 6 days of evolution after symptoms of acute rhinosinusitis and how an early approach improves the prognosis of these cases. Resumed report: A 23-year-old male patient came to the hospital for edema, hyperemia, tearing and purulent discharge in the left eye for 6 days. On physical examination, the left eye showed significant edema, eyelid ptosis, decreased ocular movement, loss of visual acuity and orbital proptosis. Contrasted tomography of the sinuses identified extraconal collection in the upper orbital portion on the left, in addition to protrusion. He underwent drainage of the subperiosteal abscess in a surgical center for orbit decompression and antibiotic therapy was initiated. Conclusion: Orbital complications of rhinosinusitis are rare, but their early diagnosis and adequate treatment are important for the patient's prognosis. It is essential that the otorhinolaryngologist is able to identify and manage the condition as soon as possible, as was done in this case. [ABSTRACT FROM AUTHOR] |
