Characteristics and Management of Orbital and Intracranial Complications in Acute Rhinosinusitis

Qiong Zhu and Xifu Wu

Department of Health Management Center, The Third Affiliated Hospital of Sun Yat-sen University, China
Department of Otolaryngology Head and Neck Surgery, The Third Affiliated Hospital of Sun Yat-sen University,
China

^*Correspondance to: Xifu Wu 

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Abstract:

Objective: Orbital and intracranial complications in acute rhinosinusitis are not rare but can be serious. This study aimed to investigate the characteristics and management of those complications. Materials and Methods: A retrospective analysis of orbital and intracranial complications of acute rhinosinusitis was conducted between April 2019 and April 2024. Data on age, sex, date of admission, presence of symptoms, physical examination, laboratory results, radiological imaging, intravenous antibiotics, surgery, bacterial culture results, and prognosis were investigated. Results: Fifteen patients were included; nine had orbital complications and six had intracranial complications. Four cases of orbital complications and six cases of intracranial complications underwent surgery due to lack of improvement with conservative treatment. Fortunately, most patients recovered well; only one patient experienced loss of right vision, consistent with poor preoperative vision. Conclusion: Orbital and intracranial complications are not rare but can be serious if not recognized early and treated effectively. Multidisciplinary treatment and enhanced imaging play important roles in managing these conditions.

Keywords:

Acute rhinosinusitis; Orbital complication; Intracranial complication; Characteristics; Management.

Cite the Article:

Zhu Q, Wu X. Characteristics and Management of Orbital and Intracranial Complications in Acute Rhinosinusitis. Clin Case Rep Int. 2025; 9: 1741.