RESUMO
Purpose: To present a number of cases of sinonasal disease with secondary orbital involvement and to review these disorders in the light of previously published reports. A retrospective study of patients with primary sinonasal tract disease and secondary orbital involvement who were admitted to the King Abdul Aziz University Hospital in Riyadh, Saudi Arabia from 1988 to 1993. Patients with disease causing concomitant involvement of the sinonasal tract and the orbit which did not originate in the sinuses were excluded, as were ambulatory patients. The final study group comprised 28 patients [19 males and 9 females, ranging in age from 18 months to 65 years, mean 33 years] with the following diagnoses: nine bacterial sinusitis, eight fungal sinusitis, two mucoceles, two osteomata, one fibrous dysplasia, one angiofibroma, one fibromatosis, and four carcinomas. Conclusions: Diseases of the sinonasal tract with orbital extension must be considered whenever a patient presents with signs and symptoms of orbital disease. Cooperation between the ophthalmologist and the otolaryngologist is desirable for proper management