Oculo-orbital complications of odontogenic sinusitis.
| Title: | Oculo-orbital complications of odontogenic sinusitis. |
|---|---|
| Authors: | Preda MA; 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania.; 'Sfanta Maria' Clinical Hospital, Bucharest, Romania.; Muşat O; 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania.; 'Dr. Carol Davila' Central Military Emergency Hospital, Bucharest, Romania.; Sarafoleanu CC; 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania.; 'Sfanta Maria' Clinical Hospital, Bucharest, Romania.; Popescu IS; 'Dr. Carol Davila' Central Military Emergency Hospital, Bucharest, Romania.; Muşat A; 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania.; Pîrvulescu R; 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania.; University Emergency Hospital, Bucharest, Romania.; Barac R; 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania.; Clinical Emergency Eye Hospital, Bucharest, Romania.; Tătaru CP; 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania.; Clinical Emergency Eye Hospital, Bucharest, Romania.; Muşat GC; 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania.; 'Sfanta Maria' Clinical Hospital, Bucharest, Romania. |
| Source: | Romanian journal of ophthalmology [Rom J Ophthalmol] 2023 Apr-Jun; Vol. 67 (2), pp. 175-179. |
| Publication Type: | Journal Article; Observational Study |
| Language: | English |
| Journal Info: | Publisher: Romanian Society of Ophthalmology Country of Publication: Romania NLM ID: 101677459 Publication Model: Print Cited Medium: Internet ISSN: 2501-2533 (Electronic) Linking ISSN: 24574325 NLM ISO Abbreviation: Rom J Ophthalmol Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Bucharest, Romania : Romanian Society of Ophthalmology |
| MeSH Terms: | Eye Infections, Bacterial*/etiology ; Eye Infections, Bacterial*/diagnosis ; Focal Infection, Dental*/complications ; Focal Infection, Dental*/diagnosis ; Maxillary Sinusitis*/complications ; Maxillary Sinusitis*/diagnosis ; Maxillary Sinusitis*/microbiology ; Orbital Cellulitis*/etiology ; Orbital Cellulitis*/diagnosis ; Orbital Diseases*/etiology ; Orbital Diseases*/diagnosis; Anti-Bacterial Agents/therapeutic use ; Adolescent ; Adult ; Female ; Humans ; Male ; Middle Aged ; Young Adult ; Follow-Up Studies ; Retrospective Studies ; Tomography, X-Ray Computed |
| Abstract: | Introduction: Odontogenic sinusitis is a well-known, but under-studied bacterial infection of the maxillary sinus that can extend to other sinuses, the orbit, or even the endocranium. Material and methods: We performed an observational retrospective study on the patients with odontogenic sinusitis treated in our hospital over a five-year period. We included patients over 18 years old diagnosed with odontogenic sinusitis and ocular complications and we excluded patients with ocular complications nonrelated to dental-originated sinusitis or patients with odontogenic sinusitis without orbital-ocular complications. Results: We examined the charts of 46 patients. From the total number of patients with oculo-orbital complications generated by odontogenic sinusitis, only 7 were women. The mean age was 33,7 with a standard deviation of 15,7 years. The oculo-orbital complications were assessed according to the Chandler classification. The most frequent orbital complication was preseptal cellulitis followed by orbital cellulitis. All the patients were treated with antibiotic covering both anaerobic and aerobic bacteria and 40 of the patients in our study received surgical treatment. The outcomes were favorable for all the patients in our study with clinical resolution. Conclusion: The oculo-orbital complications of odontogenic sinusitis are severe because they can result in vision loss or other ocular sequelae. The bacteriological features of this sinusitis explain the special characteristics of this infection and can facilitate the extent of the infection to the orbit. Prompt intervention with antibiotics covering anaerobic and aerobic bacteria and surgery addressed to the affected sinus/ sinuses, the dental disease and the orbital pathology ensures a big success rate in the therapy of these complications.; (#x00A9; The Authors.Romanian Society of Ophthalmology.) |
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| Contributed Indexing: | Keywords: Chandler classification; oculo-orbital complications; odontogenic sinusitis |
| Substance Nomenclature: | 0 (Anti-Bacterial Agents) |
| Entry Date(s): | Date Created: 20230731 Date Completed: 20260311 Latest Revision: 20260316 |
| Update Code: | 20260316 |
| PubMed Central ID: | PMC10385719 |
| DOI: | 10.22336/rjo.2023.30 |
| PMID: | 37522025 |
| Database: | MEDLINE |
Journal Article; Observational Study