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Orbital Complications of sinusitis

Orbital Complications of sinusitis

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Published by Dr. Janarthanan V

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Published by: Dr. Janarthanan V on Oct 21, 2010
Copyright:Attribution Non-commercial

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12/09/2013

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ORBITALCOMPLICATIONSOF SINUSITIS
-N. ARAVINTHO
 
Epidemiology80
 
 ±
9
0%of 
cas
e
s.
P
e
ak
in
c
iden
c
e
b
etween
 5 -1
0 ye
ars
80%of 
 
p
a
tient
s<1
8
Y/O
( Younis et al 2002)
S
inu
s
infe
c
tion
s ar
e
 
the
 
mo
s
t
c
ommon
 ca
u
s
e
 
of 
 
unil
a
te
ra
l
 
p
r
opto
s
i
s
in
children
a
nd
 
the
3r
d
 
mo
s
t
c
ommon
ca
u
s
e
 
in
 
adults
following
Grav
e
s
o
rb
itop
a
thy
a
nd
 
p
s
eudotumo
r
E
thmoid
s
inu
s
iti
s
i
s
mo
s
t
c
ommon
ca
u
s
e
,
followed
b
y
 
Maxillary
 
Orb
it
a
l
C
ompli
ca
tion
s O
S
inu
s
iti
s
Etiology
D
irect extensionof ethmoid sinusitis
th
r
ough
 
thinlamina papyracea
R
etrogradebacterial phlebitiswith intact laminapapyraceavia
:
1.
he anterior & posterior ethmoidal neurovascular  foramina2
.
he ophthalmic venous system
,
the
s
upe
r
io
r a
nd
 
infe
r
io
r
ophth
a
lmi
c v
ein
s, ar
e
va
l
v
ele
ss, a
llowing
 
fo
r
r
ee
-
flowing
 c
ommuni
ca
tion
 
of 
 
infe
c
tion
 
r
om
 
the
 
no
s
e
a
nd
 
ethmoid
 s
inu
s
to
 
the
 
o
rb
it
.
(Chandler et al 
.,
 
197 
0)

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