Results of orbital cellulitis treatment

Abstract

The research seeks to emphasis the importance of prompt surgical intervention in the management of complicated orbital cellulitis without over relying on CT Scans. A retrospective study that reviewed 36 patents with orbital complications arising as a result of sinusitis  were admitted to the Ear, Nose, Throat and Eye ward of the main teaching hospital of the Ashanti Region-Komfo Anokye Teaching Hospital was done. The study analysis was from January, 2007 to October, 2010. The clinical presentations, laboratory examinations,diagnoses,management methods were analyzed. Appropriate evaluation of patients with orbital inflammation included a comprehensive clinical examination and radiographic studies . The age range of the study was 1-70 years  with  males  more   than females. The commonest sinus which was infected was the ethmoid. Relying on the soft tissues x-rays, prompt clinical assessment and immediate surgical intervention in a deprived area where CT Scans and ultrasonography are scarce gives 95% cure of patients. The findings of this study suggest that surgical intervention, especially trephening of the frontal sinus is a must, to avoid potential complications such as brain abscess and vision loss in orbital abscess.

KEY WORDS: Sinusitis, sinuses, orbital cellulitis.