鼻窦炎并发症（Complications of sinusitis）.docVIP

鼻窦炎并发症（Complications of sinusitis） Section 4 complications of sinusitis The orbital complication of sinusitis Acute and chronic sinusitis can be spread to other sites through sinus injury, vascular guidance, neural guidance and lymphatic drainage. The anterior nasal sinus was connected with the anterior orbital wall and the upper wall and the bottom wall; The posterior nasal sinus was closely associated with the posterior orbital wall, the orbital fissure and optic nerve holes, so all the sinus inflammation could cause complications in the orbit. The damage was most common in the orbital wall. (1) subperiosteal abscess of the orbital wall An overview of the Acute sinusitis causes the orbital wall thrombophlebitis and peripheral phlebitis, accompanied by the osteopenia of the bone tubule; Bacterial virulence is very strong, and there is a great mass of dead bone formation; Chronic sinusitis is the main cause of osteitis, the damage of the bone is filled with the granulation of the granule, and finally the localized tissue is fused. The diagnosis In the formation of abscess, such as inflammation from the frontal sinus, the same side of the eyelid is congested with blood, swollen and intense, tenderness, sometimes with lower eyelid edema; The inflammation is from the ethmoid sinus, which is the same as the lateral upper eyelid or the canthus, swelling and tenderness. It comes from the upper sinus, which is filled with blood and swelling in the same side of the lower eyelid. From the posterior group sieve sinus or the sphenoid sinus, the eyelid symptoms and the local pressure pain were not obvious, but the symptoms of the deep inflammatory disease, such as visual impairment, eye movement and eye movement disorder, were the main symptoms. The differential diagnosis It should be identified with orbital cellulitis, endoorbital tumor secondary infection and orbital inflammatory pseudotumor. Orbital cellulitis and orbital periostitis have exophthalmos is limited, eyelids and