Öz
Sinusitis is an important community health problem for its increasing prevelance and incidence. The exact incidence of the complications of the disease is not known because sinusitis is generally treated by pediatricians and general practitioners, whereas complications are mostly treated by otorhinolaryngologists 1 . In this study we present a case hospitalised for sinusitis who had no complaints and no examination findings on the 3 rd day of medical treatment, but experienced a sudden right orbital pain with slight hypotropia of the right eye and painful eye movements. The computerized tomography obtained to exclude intracranial complications, revealed the retrograde airflow to orbita through lacrimal canal without presence of a bone defect. Aim of this study is to remind retrograde airflow to lacrimal canal in a patient with sinusitis, with acute severe headache, hypotropia, and pitosis, mimicking preseptal cellulitis
Anahtar Kelimeler
Kaynakça
- Morgan MD, Morrison MV. Complications of frontal and ethmoidal sinusitis. Laryngoscop 1980;90:661-6
- Fokkens W, Lund V, Mullol J, et al. European position paper on rhinosinusitis and nasal polyps. Rhinol Suppl 2007;20:1-136.
- Anon JB, Jacobs MR, Poole MD, et al. Antimicrobial treatment guidelines for acute bacterial rhinosinusitis. Otolaryngol Head Neck Surg 2004;130:1-45.
- Wald ER, Applegate KE, Bordley C, et al. Clinical practice guideline for the diagnosis and management of acute bacterial sinusitis in children aged 1 to18 years. Pediatrics 2013;132:e262-80.
- Lerner DH, Choi SS, Zalzal GH, et al. Intracranial complications of sinusitis in childhood. Ann Otol Rhinol Laryngol 1995;104:288-94.
- Altman KW, Austin MB, Tom LW, et al. Complications of frontal sinusitis in adolescents: case presentations and treatment options. Int J Pediatr Otorhinolaryngol 1997;41:9-20.
- Nocon CC, Baroody FM. Acute Rhinosinusitis in children. Curr Allergy Asthma Rep 2014;14:443.
- Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscop 1970;80:1414-28.
- Zandieh S, Katz ES. Retrograde airflow during nasal positive pressure ventilation. J Clin Sleep Med 2010;6:603-04.
- Goktas O, Habeman A, Thelen A, Schrom T. The punctum plug as an option for treating retrograde airflow from the lacrimal sac. Leryngorhinootologie 2007;86:732-5.
- Harrison W, Pence N, Kovacich S. Anterior segment complications secondary to continuous positive airway machine treatment in patients with obstructive sleep apnea. Optometry 2007;78:352-5.
Sinuzit Tanılı Olguda Preseptal Selüliti Andıran Klinik Prezantasyon: Nazolakrimal Kanala Retrograd Hava Girişi
Öz
Sinüzit insidans ve prevelansı giderek artan halksağlığı problemlerindendir. Çok sık rastlanan bu hastalığın komplikasyonlarının gerçek insidansı bilinmemektedir çünkü komplike olmamış sinüzit diğer branş hekimleri ve pratisyen hekimler tarafından tedavi edilirken, komplikasyonlar genel olarak kulak burun boğaz hekimleri tarafından tedavi edilmektedirler 1 . Çalışmamızda sinuzit tanısı ile yatırılan, ve tedavisinin 3. gününde yakınma ve muayene bulgularında belirgin düzelme sağlanmışken sağ orbitaya uyan bölgede ani şiddetli baş ağrısı, sağ gözde hafif aşağı deplasman ve ağrılı göz hareketleri ortaya çıkan bir olguyu sunmaktayız Şekil 1 . Hastada intrakranial komplikasyonları ekarte etmek amacı ile çekilen bilgisayarlı tomografide BT lakrimal kanaldan orbitaya kemik defekti olmakasızın ortaya çıkan retrograd hava geçişi izlenmiştir Şekil 2 ve 3 . Bu çalışmada , sinüzit tanılı olguda ani olarak ortaya çıkan gözkapağı şişliği, ağrılı göz hareketleri, ve taraf gösteren şiddetli ağrıda, preseptal selülit tablosu ile karışabilecek larimal kanala retrograd hava geçişini hatırlatmak amaçlanmıştır
Anahtar Kelimeler
Kaynakça
- Morgan MD, Morrison MV. Complications of frontal and ethmoidal sinusitis. Laryngoscop 1980;90:661-6
- Fokkens W, Lund V, Mullol J, et al. European position paper on rhinosinusitis and nasal polyps. Rhinol Suppl 2007;20:1-136.
- Anon JB, Jacobs MR, Poole MD, et al. Antimicrobial treatment guidelines for acute bacterial rhinosinusitis. Otolaryngol Head Neck Surg 2004;130:1-45.
- Wald ER, Applegate KE, Bordley C, et al. Clinical practice guideline for the diagnosis and management of acute bacterial sinusitis in children aged 1 to18 years. Pediatrics 2013;132:e262-80.
- Lerner DH, Choi SS, Zalzal GH, et al. Intracranial complications of sinusitis in childhood. Ann Otol Rhinol Laryngol 1995;104:288-94.
- Altman KW, Austin MB, Tom LW, et al. Complications of frontal sinusitis in adolescents: case presentations and treatment options. Int J Pediatr Otorhinolaryngol 1997;41:9-20.
- Nocon CC, Baroody FM. Acute Rhinosinusitis in children. Curr Allergy Asthma Rep 2014;14:443.
- Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscop 1970;80:1414-28.
- Zandieh S, Katz ES. Retrograde airflow during nasal positive pressure ventilation. J Clin Sleep Med 2010;6:603-04.
- Goktas O, Habeman A, Thelen A, Schrom T. The punctum plug as an option for treating retrograde airflow from the lacrimal sac. Leryngorhinootologie 2007;86:732-5.
- Harrison W, Pence N, Kovacich S. Anterior segment complications secondary to continuous positive airway machine treatment in patients with obstructive sleep apnea. Optometry 2007;78:352-5.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2015 |
| Yayımlandığı Sayı | Yıl 2015Sayı: 3 |