Study of paranasal sinuses disease with emergency surgery

Abstract

We reviewed five cases of paranasal sinuses disease with emergency surgery treated between January 2009 and October 2011. Three of the five cases were paranasal sinus cysts with orbital symptoms, and the other two cases were orbital cellulitis from acute sinusitis. All three paranasal sinus cysts were in the posterior paranasal sinus and reduced the visual acuity, regardless of their size. One of these three patients underwent emergency surgery, which resulted in an improvement in his visual acuity despite the long interval (more than a month) between the onset of symptoms and surgery. Both cases of orbital cellulitis were treated surgically as early as possible, which prevented a decrease in the visual acuity. All five patients initially consulted a doctor at the Department of Ophthalmology. Forging a closer connection with the Department of Ophthalmology is important for the early diagnosis and treatment of paranasal sinuses disease.