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Review on orbital and intracranial complications after acute rhinosinusitis

Publication at First Faculty of Medicine |
2010

Abstract

Nowadays, intracranial abscess is a rare complication of acute rhinosinusitis. The consequent orbital and intracranial complications of acute rhinosinusitis are rare but must be mutually excluded in complicated rhinosinusitis even when proper surgical and medical treatment tend to efficiently heal the orbital complication.

We report a case of a patient with orbitocellulitis as a complication of odontogenous rhinosinusitis with consequent intracranial abscess formation. In a literature review concerning intracranial complication after acute rhinosinusitis, we demonstrate the complexity of this complication.

We indicate the predisposing factors, diagnostic measures and treatment strategy. We strongly rely on a literature review and recommendations on diagnosis and treatment of this possibly lethal complication in the discussion.

The correct indication of imaging methods and accurate evaluation of diminutive symptoms are essential.