Orbital manifestations of paranasal sinus diseases

ABSTRACT

Sixty patients, 42 males and 18 females with a male -female ratio of 2.3 l and age ranging from 1 year to 65 years with a mean of 34.37 years had orbital manifestations which were observed mostly in 2nd decade of life. Majority of them were from middle class. There were 14 inflammatory lesions, 28 malignant tumors, 8 benign tumors and 10 miscellaneous conditions. Among 14 inflammatory pathologies ethmoidal abscess and acute ethmoiditis were noted in 8 patients in younger age group, 20 cases of maxillary antral carcinoma were encountered among 28 malignant lesions, elderly males were the main victims, 8 cases of benign tumors were found in this series, 6 of them were osteomas, 4 arising from the frontal and the other 2 from the ethmoid. Miscellaneous lesions e.g., mucoceles, cysts etc, were found in 10 cases. Orbital manifestations from sinus diseases were multiple in most of the cases. Proptosis was found in 52 cases arising from all groups of sinus diseases. Orbital cellulitis was encountered in 6 cases. Blindness in 4 cases. Antibiotic, has reduced inflammatory diseases significantly but neoplastic infiltration has remained static. Early diagnosis and management reduce the fatal outcome of these diseases