McIntosh D, Mahadevan M
Department of Paediatric Otolaryngology, Head and Neck Surgery, Auckland Starship Children's Hospital, Grafton, New Zealand.
J Laryngol Otol. 2008 Jun;122(6):639-40. doi: 10.1017/S0022215107000102. Epub 2007 Jul 19.
Acute sinusitis is a relatively common condition, which usually responds to medical therapy. In most cases, there are no sequelae or complications subsequent to this infection. However, like many acute illnesses, there are well documented complications of acute sinusitis, and in particular these include peri-orbital and intracranial spread.
The purpose of this paper is to highlight the importance of vigilance in peri-orbital involvement and the limitations of imaging techniques, such as computed tomography scanning. An illustrative case is presented to demonstrate this.
Magnetic resonance imaging scanning is a valuable modality in assessing complex presentations of peri-orbital complications of acute sinusitis.
急性鼻窦炎是一种相对常见的病症,通常对药物治疗有反应。在大多数情况下,这种感染之后不会有后遗症或并发症。然而,与许多急性疾病一样,急性鼻窦炎有充分记录的并发症,特别是包括眶周和颅内扩散。
本文的目的是强调警惕眶周受累的重要性以及成像技术(如计算机断层扫描)的局限性。通过一个示例病例来说明这一点。
磁共振成像扫描在评估急性鼻窦炎眶周并发症的复杂表现方面是一种有价值的检查方式。