Orbital Complications of The Paranasal Sinuses Disease
Introduction: The close relationship between diseases of the paranasal sinuses
system and the orbit is based on their anatomical relationship. About 60% to 80%
of the osseous eye socket is made up by sinus walls.
Objective: To describe evaluation of orbital complications in patient with paranasal
sinuses diseases at Dr. M. Djamil Hospital Padang for 2005-2014.
Method: Descriptive study we obtained from medical record of patients during
January 2005- December 2014. Data collected including age, sex, diagnosis
of paranasal sinuses diseases, involved sinuses, orbital involvement and ocular
presentations.
Results: There were fifty five patients came to Ophthalmology Department Dr. M.
Djamil Hospital Padang during period 2005-2014, either directly came or consulted
from ENT Department, with suspicion of orbital involvement resulted from prior
paranasal sinuses diseases, 34 ( 61.8%) male and 21 (38.2%) female. The age of
patients range between 4 y.o. to 83 y.o., with the most common range of age was
between 51 to 60 y.o. Orbital involvelment occurred in 45 patients (81.8%) while
10 patients (18.2%) had no orbital involvement. Orbital infiltration was caused by
sinonasal tumor in 35 patients (77.7%), by sinus infection in 8 patients (17.7%),
and by mucocele in 2 patients (4.6%). Sinonasal tumor was the most common
paranasal sinuses disease which diagnosed in 43 patients (78.2%) and maxillary
sinus (58.1%) was the most common involved sinus. Majority of the patients
(67.7%) had presented with proptosis followed by ophthalmoplegia (54.8%) and
visual acuity reduction (43.5%).
Conclusion: The most common affected person were men and more frequently
found in range of age between 51 to 60 y.o. Sinonasal tumor was the most etiology
of orbital abnormalities in the the present of paranasal sinuses disease with
maxillary sinus was the most common involved sinus. Proptosis was the major
ocular presentation which found in orbital complications caused by paranasal
sinuses diseases. Author(s):