Orbitocellulitis - Potential Complication of Acute Rhinosinusitis Even with Proper Conservative Therapy

Authors: M. Masná 1;  R. Katra 2
Authors‘ workplace: ORL oddělení, Thomayerova nemocnice, Praha 1;  Klinika ušní, nosní, krční 2. LF UK a FN v Motole, Praha 2
Published in: Otorinolaryng. a Foniat. /Prague/, 65, 2016, No. 3, pp. 196-200.
Category: Case Reports


Orbitocellulitis is the most common complication of acute bacterial rhinosinusitis. The patient is in high risk of loss of sight and in case of intracranial spreading it could be fatal. The paper presents the case of a 15 - year old patient with bacterial acute rhinosinusitis, who despite the prompt and targeted conservative therapy suffered on the seventh day of hospitalization progress of intraorbital abscess, which must have been dealt with surgery. The aim of this paper is to point out the importance of careful patient observation and well-timed indication of the right imaging method and subsequently also the choice of therapy. It also emphasizes the importance of the cooperation amongst the otorhinolaryngologists, ophtalmologists and radiologists.

orbitocellulitis, bacterial rhinosinusitis, intraorbital abscess


1. Bednaříková, Z., Šlapák, I.: Orbitocelulitida v dětském věku. Otorhinolaryngology & Phoniatrics/Otorinolaryngologie a Foniatrie, 62, 2, 2013,

2. Brook, I.: Microbiology and antimicrobial treatment of orbital and intracranial complications of sinusitis in children and their management. International Journal of Pediatric Otorhinolaryngology, 73, 2009, 9, s. 1183-1186.

3. Čelakovský, P. et al.: Řešení očnicových komplikací sinusitid v dětském věku. Choroby hlavy a krku, 2003, 1, s. 33-37.

4. Chandler, J. R., Langenbrunner, D. J., Stevens, E. R.: The pathogenesis of orbital complications in acute sinusitis. The Laryngoscope, 80, 1970, 9, s. 1414.

5. Chrobok, V., Vokurka, J.: Příspěvek ke klinické anatomii, patofyziologii a léčbě rinogenních zánětů očnice. Otorinolaryngologie a foniatrie, 47, 1998, s. 3-8.

6. Cruz, A. A. V. et al.: Orbital complications of acute rhinosinusitis: a new classification. Revista Brasileira de Otorrinolaringologia, 73, 2007, 5, s. 684-688.

7. Hybášek, I. : Otorinolaryngologie, verze I., 2014.

8. Oxford- Lance E., McClay, J.: Complications of acute sinusitis in children. Otolaryngology-Head and Neck Surgery, 133, 2005, 1, s. 32-37.

9. Schramm, V. L., Myers, E. N., Kennerdell, J. S.: Orbital complications of acute sinusitis: evaluation, management, and outcome. Otolaryngology, 86, 1977, 2, s. 221-230.

10. Sýba, J., Groh, D., Fajstavr, J.: Orbitocelullitis and its therapy at the child age. Otorinolaryngologie a Foniatrie, 60, 2011, 4, s. 224-224.

11. Šuchaň, M. et al.: Orbital complications of sinusitis. Česká a slovenská oftalmologie, 70, 2014, 6, s. 234.

12. Rubin, F. et al.: Drainage of subperiosteal orbital abscesses complicating pediatric ethmoiditis: Comparison between external and transnasal approaches. International journal of pediatric otorhinolaryngology, 77, 2013, 5, 796-802.

Audiology Paediatric ENT ENT (Otorhinolaryngology)
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account