Complication of an endoscopic drainage on a patient with a retro-orbital abscess. Report of a case

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Paul Boettiger B.
Grettel Martelo P.
Jorge Zúñiga P.
Carlos Celedón L.

Keywords

Retro ocular hematoma, acute rhinosinusitis

Abstract

Among acute rhinosinusitis complications, the ones with orbital involvement are relevant. We present a case report of a patient who presented proptosis and was initially diagnosed with a retro ocular abscess as a complication to an acute rhinosinusitis. The abscess was drained with an endoscopic sinus surgery. On the fourth post-surgery day a retro ocular hematoma was diagnosed. The hematoma was treated with a combined open and endoscopic approach with a favorable outcome. In conclusion, even though orbital complications of rhinosinusitis nowadays have low prevalence, and orbital complications of their endoscopic management are even rarer, it is important for the otorhinolaryngologist to be familiar with their open, endoscopic, or combined surgical treatment.

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