Author/Authors :
Özbay, İsa Dumlupınar Üniversitesi - Tıp Fakültesi - Kulak Burun Boğaz Anabilim Dalı, Turkey , Oğhan, Fatih Dumlupınar Üniversitesi - Tıp Fakültesi - Kulak Burun Boğaz Anabilim Dalı, Turkey , Kucur, Cüneyt Dumlupınar Üniversitesi - Tıp Fakültesi - Kulak Burun Boğaz Anabilim Dalı, Turkey , Erdoğan, Onur Dumlupınar Üniversitesi - Tıp Fakültesi - Kulak Burun Boğaz Anabilim Dalı, Turkey , Aksoy, Sinan Dumlupınar Üniversitesi - Tıp Fakültesi - Kulak Burun Boğaz Anabilim Dalı, Turkey , Sivas, Zuhal Zeybek Dumlupınar Üniversitesi - Tıp Fakültesi - Kulak Burun Boğaz Anabilim Dalı, Turkey
Abstract :
Despite the widespread use of antibiotics in cases of sinusitis, still some complications may occur. Periorbital cellulitis is a clinical condition that usually seen in childhood and inflammation occurs in ethmoid sinuses causing eyelid edema, hyperemia and ocular pain, but seeing is generally unaffected, and rarely it is accompanied by the abscess. Our case was adult male patient and periorbital cellulitis was present caused by a defect in the frontal sinus. This is the difference from other cases. Functional endoscopic sinus surgery was present at 3 years ago in history of the patient who had no history of trauma. It has been detected in thin-section CT that periorbital cellulites of our patient caused by the defect in the wall of the frontal sinus in the course of acute sinusitis and then, abscess formation occurred. Parenteral antibiotic therapy was given to the patient who was hospitalized. On the 5th day of treatment, the patient s clinical improvement was observed. Frontoetmoidal medial orbitotomy (Lynch) incision was made to the patient in operation and the defect was found to be approximately 2-3 mm in diameter in the anterior wall of the frontal sinus and it was repaired with bone cement. Ethiopathogenesis of this type of defect may be mukopiyosel, trauma etc. as well as iatrogenic trauma. In this case, we offer an atypical case of periorbital cellulitis caused by the defect in the anterior wall of the frontal sinus in acute sinusitis attacks discussing in the light of literature.
