الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 111 |  |  |
| | | from | 111 | | |
Abstract
It was very important to clarify the following items in our review of
literature; the anatomy of the orbit from its clinical aspect, different
classifications of orbital complications of rhinosinusitis, previous
experiences of the endoscopic endonasal, external approaches or
combined endoscopic and external approaches in management of these
complications and recorded outcomes of each approach.
The aim of our study was to clarify and evaluate the results of
intranasal endoscopic procedures performed in individuals with orbital
complications of rhinosinusitis in search for optimal treatment of this
group of patients.
Our subjects were 30 patients divided into 3 groups; 1st group for
patients with orbital cellulitis, 2nd group for patients with subperiosteal
orbital abscess and the 3rd one was for patients with intraorbital abscess.
The main presentations in our patients were proptosis, vision impairment
and limited ocular motility with diplopia .
Our methods were pre and post operative history taking; radiological
investigations include CT and MRI scan of nose, paranasal sinuses and
orbit. Physical examinations include general, ophthalmic and ORL
examination. Endoscopic endonasal surgery was done for all patients in
group II and III and some patients indicated for surgery in group I.
Results calculated aimed to evaluate the role of endoscopic endonasal
surgery in management of orbital complications of rhinosinusitis
compared to previous experience with other approaches. Our
postoperative outcomes parameters were the degree of proptosis
reduction, vision improvement, ocular motility improvement and
resolution of diplopia.
Summary
91
Our result showed a highly significant postoperative improvement
(93%) in proptosis, (100%) ocular motility, (60%) diplopia and (91%)
vision acuity, with the most resolved sign was the proptosis, followed by
improved ocular motility then improved vision and finally resolution of
diplopia.