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Rhinogenic Orbital Inflammation - What Has Changed over the Past 50 Years?

Authors: Chrobok Viktor | Pellant Arnošt | Mandysová Petra | Mejzlík Jan | Dědková Jana | Čelakovský Petr

Year: 2019

Type of publication: článek v odborném periodiku

Name of source: Acta Medica (Hradec Králové)

Page from-to: 94-98

Titles:

Language	Name	Abstract	Keywords
cze	Rinogenní očnicové komplikace – co se změnilo za posledních 50 roků?	Účelem publikované studie je porovnat výskyt, diagnostiku a léčbu rinogenních zánětlivých komplikací na Klinice otorinolaryngologie a chirurgie hlavy a krku v Hradci Králové v letech 1966-1995 a 1996-2015. Hlavní rozdíl je spatřován v dnešním, převážně endoskopickém, přístupu při řešení zánětů vedlejších nosních dutin. Zevní přístupy mohou být použity při opakovaných abscesech, zvláště pokud jsou lokalizovány v horní a laterální části očnice.	sinusitis, endoskopická chirurgie, očnicové komplikace
eng	Rhinogenic Orbital Inflammation - What Has Changed over the Past 50 Years?	The purpose of the study was to compare the incidence, diagnostics, and treatment of rhinogenic inflammatory complications over the past 50 years. Retrospective study of 292 patients of ENT department, University hospital: Group A treated from 1966 to 1995, Group B treated from 1996 to 2015. RESULTS: Preseptal inflammation was the most common type (73% vs. 74%), followed by subperiosteal abscess (21% vs. 20%). Surgery was indicated in 35% vs. 37% of the patients (p = 0.434). The most commonly used surgical approach was the external route (80%) in Group A and endoscopic endonasal surgery (60%) or a combination of endoscopic surgery of the paranasal sinuses and external orbitotomy (30%) in Group B (p < 0.001). The percentage of reoperations was 13% vs. 14%. In cases of revision surgery, the orbit was always treated using the external surgical approach. Complete recovery was achieved in 92% and 98.5% of the patients belonging to Group A and B, respectively (p = 0.622). CONCLUSION: Nowadays, the endoscopic endonasal approach is the most frequently used surgical technique for paranasal sinuses. The technique used to treat the orbital complication itself depends on several factors. Nowadays, the endoscopic approach is preferred. The external approach can be considered in the case of recurrent or persistent abscesses, especially if they are located in the upper or the lateral part of the orbit.	sinusitis, endoscopic surgery. orbital inflammation