- MeSH
- Anti-Bacterial Agents administration & dosage MeSH
- beta Lactam Antibiotics administration & dosage MeSH
- Diagnosis, Differential MeSH
- Humans MeSH
- Orbital Cellulitis * diagnostic imaging drug therapy classification pathology MeSH
- Tomography, X-Ray Computed MeSH
- Disease Progression MeSH
- Aged MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Amoxicillin-Potassium Clavulanate Combination therapeutic use MeSH
- Humans MeSH
- Orbital Cellulitis * diagnosis etiology therapy MeSH
- Child, Preschool MeSH
- Streptococcus pneumoniae isolation & purification drug effects MeSH
- Check Tag
- Humans MeSH
- Child, Preschool MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
Zánětlivé stavy postihující měkké tkáně očnice (orbitocelulitidy) jsou jednou z nejčastějších komplikací akutních rinosinusitid postihující jak dětské, tak dospělé pacienty. Byť jsou v dnešní antibiotické éře spíše vzácné (incidence se pohybuje v jednotkách procent), stále se jedná o stav ohrožující pacienta nejen ztrátou zraku, ale i života a vyžaduje včasnou a správnou léčbu. Náš případ ukazuje průběh komplikované orbitocelulitidy u 31letého jinak interně zdravého pacienta hospitalizovaného na naší klinice. I přes včasnou chirurgickou intervenci a drenáž abscesového ložiska mediálně intraorbitálně došlo pouze k přechodnému zlepšení, kdy na kontrolních zobrazovacích metodách byla nalezena další abscesová dutina laterálně v očnici, s nutností reoperace a drenáže ložiska zevním přístupem. V kazuistice je probrán průběh léčby a použité diagnostické a léčebné metody. Diskutována je symptomatologie, doporučený management diagnostiky a léčby u komplikací akutních rinosinusitid.
Inflammatory conditions affecting the soft tissues of the orbit (orbitocellulitis) are one of the most common complications of acute rhinosinusitis affecting both children and adult patients. Although they are rather rare in today‘s antibiotic era (incidence is in percent units), it is still a condition that threatens the patient not only with loss of vision, but also with life, requiring early and correct treatment. Our case shows the course of complicated orbitocellulitis in a 31-year-old internally healthy patient hospitalized in our clinic. Despite early surgical intervention and drainage of the medial abscess mass in the orbit, there was only temporary improvement, while another abscess cavity was found laterally in the orbit, necessitating reoperation and drainage of the abscess by an external approach. Therapeutic process and used diagnostics and treatment are described in this case report. Symptomatology, recommended management of diagnostics and treatment of complications of acute rhinosinusitis are discussed.
- MeSH
- Anti-Bacterial Agents therapeutic use MeSH
- Nasal Surgical Procedures methods MeSH
- Adult MeSH
- Humans MeSH
- Magnetic Resonance Imaging MeSH
- Treatment Failure MeSH
- Orbital Cellulitis * diagnostic imaging etiology pathology therapy MeSH
- Tomography, X-Ray Computed MeSH
- Disease Progression MeSH
- Reoperation methods MeSH
- Rhinosinusitis * complications pathology MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
- MeSH
- Adult MeSH
- Comorbidity MeSH
- Humans MeSH
- Breast Neoplasms complications MeSH
- Orbital Cellulitis * diagnosis etiology classification microbiology MeSH
- Penicillin G Procaine administration & dosage therapeutic use MeSH
- Staphylococcus aureus pathogenicity MeSH
- Streptococcus pyogenes pathogenicity MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Diagnosis, Differential MeSH
- Humans MeSH
- Neoplasm Metastasis MeSH
- Orbital Neoplasms diagnosis etiology classification therapy MeSH
- Orbital Diseases * diagnosis classification therapy MeSH
- Orbital Cellulitis diagnosis classification therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
INTRODUCTION: The purpose of the study was to compare the incidence, diagnostics, and treatment of rhinogenic inflammatory complications over the past 50 years. MATERIAL AND METHODS: Retrospective study of 292 patients of ENT department, University hospital: Group A treated from 1966 to 1995, Group B treated from 1996 to 2015. RESULTS: Preseptal inflammation was the most common type (73% vs. 74%), followed by subperiosteal abscess (21% vs. 20%). Surgery was indicated in 35% vs. 37% of the patients (p = 0.434). The most commonly used surgical approach was the external route (80%) in Group A and endoscopic endonasal surgery (60%) or a combination of endoscopic surgery of the paranasal sinuses and external orbitotomy (30%) in Group B (p < 0.001). The percentage of reoperations was 13% vs. 14%. In cases of revision surgery, the orbit was always treated using the external surgical approach. Complete recovery was achieved in 92% and 98.5% of the patients belonging to Group A and B, respectively (p = 0.622). CONCLUSION: Nowadays, the endoscopic endonasal approach is the most frequently used surgical technique for paranasal sinuses. The technique used to treat the orbital complication itself depends on several factors. Nowadays, the endoscopic approach is preferred. The external approach can be considered in the case of recurrent or persistent abscesses, especially if they are located in the upper or the lateral part of the orbit.
- MeSH
- Time Factors MeSH
- Child MeSH
- Incidence MeSH
- Humans MeSH
- Adolescent MeSH
- Orbital Cellulitis * diagnosis epidemiology etiology therapy MeSH
- Retrospective Studies MeSH
- Rhinitis complications MeSH
- Sinusitis chemically induced MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Comparative Study MeSH
- MeSH
- Diagnosis, Differential MeSH
- Humans MeSH
- Neoplasm Metastasis MeSH
- Orbital Neoplasms diagnosis etiology classification therapy MeSH
- Orbital Diseases * diagnosis classification therapy MeSH
- Orbital Cellulitis diagnosis classification therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
Kazuistika mladé diabetičky s méně obvyklým mykotickým onemocněním, mukormykózou. Tato invazivní forma mykózy s fulminantním průběhem má několik forem, z nichž forma rinocerebrální typicky postihuje dekompenzované diabetiky a ohrožuje je na životě. V léčbě má význam hlavně včasná diagnostika, na diagnostice a terapii se podílejí lékaři několika různých oborů.
Case report of a young diabetic patient with less common mycotic disease, mucormycosis. This invasive form of mycosis with fulminant course has got several forms, one of which rhinocerebral form typically affects decompensated diabetics and threatening the life. Early diagnosis is important for the treatment, diagnosis and treatment is interdisciplinary.
- MeSH
- Antifungal Agents administration & dosage MeSH
- Diabetes Mellitus, Type 1 complications MeSH
- Diabetic Retinopathy complications MeSH
- Adult MeSH
- Mucormycosis * diagnosis ethnology surgery mortality MeSH
- Central Nervous System Fungal Infections drug therapy microbiology mortality MeSH
- Orbital Cellulitis complications microbiology MeSH
- Patient Care Team organization & administration MeSH
- Check Tag
- Adult MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Enophthalmos etiology MeSH
- Exophthalmos etiology therapy MeSH
- Orbital Fractures surgery diagnosis complications MeSH
- Graves Ophthalmopathy drug therapy physiopathology MeSH
- Carotid-Cavernous Sinus Fistula surgery diagnosis etiology MeSH
- Humans MeSH
- Orbital Neoplasms diagnosis pathology therapy MeSH
- Orbital Diseases * diagnosis etiology therapy MeSH
- Orbit anatomy & histology pathology injuries MeSH
- Orbital Myositis diagnosis etiology therapy MeSH
- Orbital Cellulitis diagnosis etiology therapy MeSH
- Radiography MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
