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NR 3/2004
SUPLEMENT
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Powikłania oczne i
oczodołowe zapalenia zatok przynosowych
Ocular and orbital
complications of paranasal sinusitis
Jarosław Sova, Krystyna Raczyńska1
Z Oddziału Otolaryngologicznego Szpitala Miejskiego w Gdyni
Ordynator: dr hab. n. med. Józef Jordan
1Z Kliniki Chorób Oczu Akademii Medycznej w Gdańsku
Kierownik: prof. dr hab. n. med. Barbara
Iwaszkiewicz-Bilikiewicz |
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| Summary: |
Purpose: The task
of the research was epidemiological and clinical
analyses of those patients.
Material and metods: In the period of 1976-200
147 patients with complications of perinasal sinusitis
were treated. As numerous classifications of paranasal
sinusitis complications exist, the analysis of the
material was based on the modified classification
proposed by the authors. The frequency of the
complications was presented in 5-years periods.
Results: There were 133 patients treated due to
ocular and orbital complications. In our material there
were 79 patients (59,4%) up to 15 years of age and 54
patients (40,6%) older than 15 years. We noted 47
females (35,3%) and 86 males (64,7%).
In evaluated 5-years periods the number of patients
treated balanced between 17 and 37. In our material
dominated orbital periostitis (palpebral edema) – 103
cases (77,4%). Subperiosteal abscessus of the orbit was
noted in 21 cases (15,8%), inflammation of the orbital
tissue – in 5 cases (3,8%), orbital abscessus in 2 cases
(1,5%), other rare complications – in 2 cases (1,5%).
Conclusions: Generally the number of patients
with ocular and orbital complications of paranasal
sinusitis was changing in 5-years periods, but we did
not notice any permanent tendency for increase or
decrease. In the last 5 years we noted the increase in
the number of complications, which was connected with
the increase of the number of patients treated for
orbital periostitis.
In 2 patients we found rare orbital and ocular
complications, that were not included in existing
classifications. These were: orbital subperiosteal
haematoma and episcleritis. |
| Słowa kluczowe: |
oczne, oczodołowe,
powikłania zapaleń zatok. |
| Key words: |
ocular, orbital, sinusitis,
complications. |
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