Orbital complications of ENT diseases

Abhay Kumar, Jitendra P. S. Chauhan, Sunil K. S. Bhadouriya, Bhartendu Bharti, Prem Narain, Jaypal Singh


Background: Orbital complications are fairly common in Otorhinolaryngology practice because of close proximity of orbit to adjacent ENT regions. Orbital complications must be suspected whenever ENT patients present with complaints of proptosis, diplopia, vision loss and epiphora. Early diagnosis and treatment is necessary to prevent morbidity and mortality in these patients.

Methods: This prospective study was conducted in the ENT department for a period of 1 year from August 2016 to July 2017 and comprised of 38 cases. This study was conducted to see the incidence, etiology, clinical, radiological and histopathological profile in relation to ophthalmic complications in ENT diseases.  

Results: Male to female ratio was 1.71:1. Patients mean age at presentation in present study was 39.71±19.86 (SD) years and maximum number of cases 10 (26.32%) were between 41-50 years of age. Among 38 patients of our series, most common clinical presentation was proptosis followed by nasal obstruction. Commonest ENT diseases responsible for orbital complications were the different sinonasal tumours comprising 18 cases, in which carcinoma maxilla constituted 6 cases.

Conclusions: In conclusion, correct diagnosis, adequate antibiotic therapy, and surgical intervention are important for management of orbital and ophthalmic complications. Cooperation between Ophthalmologist and the Otolaryngologist is clearly desirable for proper management of these cases.


ENT disease, Orbital complications, Orbital cellulitis, Paranasal sinus tumours, Sinusitis

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Goodwin WJ. Infectious and inflammatory diseases of the orbit. Otolaryngologic Clin North Am. 1998;21:65-75.

Sobol SE, Marchand J, Tewfik TL, Manoukian JJ, Scloss MD. Orbital complications of sinusitis in children. J Otolaryngol. 2002;31(3):131-6.

Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 1970;80:1414-28.

Paparella MM, Shumrick DA, Gluckman JL, Meyerhoff WL, editors. Otolaryngology. Volume III: Head and Neck. 3rd edition. Philadelphia: W.B. Saunders; 1991: 1936-1941.

Lund VJ. Mucoceles. In: Gleeson M, Browning GG, Burton MJ, Clarke R, Hibbert J, Jones NS, editors. Scott- Brown’s Otorhinolaryngology, Head Neck Surgery. Hodder-Arnold; 2008: 1531-1538.

Bodenstein NP, McIntosh WA, Vlantis AC, Urquhart AC, et al. Clinical signs of orbital ischemia in rhino-orbito-cerebral mucormycosis. Larjngoscope. 1993;103(12):1357-61.

Kastner J, Taudy M, Lisy J, Grabec P, Betka J. Orbital and intracranial complications after acute rhinosinusitis. Rhinology. 2010;48:457-61.

Younis RT, Anand VK, Davidson B. The role of computed tomography and magnetic resonance imaging in patients with sinusitis with complications. Laryngoscope. 2002;112:224-9.

Chahed H, Bachraoui R, Kedous S, Ghorbel H, Houcine A, Mediouni A, et al. Management of ocular and orbital complications in acute sinusitis. J Fr Ophtalmol. 2014;37:702-6.

Piccirillo G, Trojsi F, Conforti R, Tedeschi G. Isolated unilateral ptosis due to neurovascular conflict. Neurol Sci. 2016;37:637-9.

Liang KL, Su MC, Shiao JY, Hsin CH, Jiang RS. Endoscopic sinus surgery for the management of orbital diseases. ORL J Otorhinolaryngol Relat Spec. 2008;70:134-40.

Barry B, Ameline E, Thuong M, Brunel F, Pichelin C, Géhanno P. Orbital complications of sinusitis in adults. Ann Otolaryngol Chir Cervicofac. 2000;117:19-25.

Malik TG, Farooq K, Rashid A. Paranasal Sinuses and Nasal Cavity; The Notorious Neighbours of Orbit. Professional Med J. 2011;18:154-9.

Sinha V, Bharadwaj D, George A, Memon RA. Proptosis through eyes of ENT surgeon. Indian J Otolaryngol Head Neck Surg. 2005;57(3):207-9.

Sayed YEl. Orbital involvement in sinonasal disease. Saudi J Ophthalmol. 1995;9(1):29–37.

Sajid T, Kazmi HS, Shah SA, Ali Z, Khan F, et al. Complications of Nose and Paranasal Sinus Disease. J Ayub Med Coll Abbottabad. 2011;23:56-9.

Frazell BL, Lewise JS. Cancer of nose and paranasal sinus. Cancer. 1963;16:1293-313.

Henderson, Ellingwood KR, Million RR. Cancer of nasal cavity and ethmoid sinuses. Cancer. 1989;53:15-7.