OBJECTIVETo investigate the clinical features, diagnosis and therapy of surgical intervention for orbital complications of acute rhinosinusitis in adults.

METHODSFour adults with orbital complications of acute rhinosinusitis were retrospectively reviewed. The patients underwent transnasal endoscopic sinus surgery or combined with eyebrow incision after conservative treatments failed.

RESULTSThere were 2 cases with orbital abscess, 2 cases with subperiosteal abscess. Two of them suffered from diabetes. After operation, constitutional symptoms and ocular symptoms disappeared in all 4 patients. CT was rechecked during the postoperative follow-up. The imaging showed that the orbital and nasal lesions were obviously relieved or disappeared.

CONCLUSIONSThe orbital complications of acute rhinosinusitis in adults are clinically rare. The patients are usually with low immunity or underlying conditions, such as diabetes. Based on the basis of controlling basic diseases, the treatment outcome of orbital complications of acute rhinosinusitis in adults is affirmative by surgery and conservative managements.