Clinical analysis of orbital apex syndrome caused by sinus diseases.
- Author:
Zhibin ZHAO
1
;
Zheng FU
;
Zhonglin MU
;
Yenong TAN
Author Information
1. Department of Otolaryngology Head and Neck Surgery, the People's Hospital of Hainan Provincial, Haikou, 570311, China. zhaozhibin2274@yahoo.com.cn
- Publication Type:Case Reports
- MeSH:
Adult;
Aged;
Female;
Humans;
Male;
Middle Aged;
Nose Diseases;
complications;
Optic Nerve Diseases;
etiology;
Orbital Diseases;
etiology;
Retrospective Studies;
Syndrome
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2010;24(2):66-68
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the clinical characters and therapeutic methods of orbital apex syndrome caused by sinus diseases.
METHOD:Six cases of orbital apex syndrome originated from sinus diseases were retrospective analyzed in our hospital from August 2003 to February 2009. Different therapeutic methods were taken according to different causes of disease.
RESULT:Four cases of sinus infection,one cases of sphenoethmoidal mucocele, one cases of sinus squamous cell carcinoma. The results of patients with orbital apex syndrome included cure and effectiveness in 2 cases respectively, death from myocardial infarction in one case, and one case is still following up.
CONCLUSION:Orbital apex syndrome originated from sinus diseases was rare, which was mainly caused by sinus infection. The key point is the correct etiology diagnosis in early phase. Treatment with endoscopic sinus surgery early is a good effective method for orbital apex syndrome caused by sinus diseases, in the same time with enough dosage of antibiotic and glucocorticoid therapy intravenously.