Hostname: page-component-76fb5796d-wq484 Total loading time: 0 Render date: 2024-04-25T17:50:07.326Z Has data issue: false hasContentIssue false
  • English
  • Français

Recurrent frontal sinusitis complicating orbital decompression in Graves' disease

Published online by Cambridge University Press:  29 June 2007

W. C. Lee
W. C. Lee*
Affiliation:
Department of Otolaryngology, North Staffordshire Hospital, Stoke-on-Trent, UK
*
Address for correspondence: Mr W. C. Lee, ENT Registrar, Department of Otolaryngology, The Eye, Ear and Throat Hospital, Shewsbury SY1US.Fax: 01743 357925.
Get access Rights & Permissions [Opens in a new window]

Abstract

An unusual case of recurrent frontal sinusitis with abscess formation secondary to orbital decompression for Graves' disease is described. The infection was refractory to antibiotics treatment, external drainage and the sinus obliteration procedure. Since the sinus outflow was obstructed by prolapsing tissue following excessive removal of the orbital walls, sinus re-aeration by supporting the prolapsed tissue with a silastic sheet and stenting the sinus drainage tract was attempted. This led to a complete resolution of the infection with an excellent long-term result.

Keywords

Graves' diseaseOrbitFrontal sinusitis, complication
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 7 , July 1996 , pp. 670 - 672
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barton, R. T. (1980) The use of synthetic implant material in osteoplastic frontal sinusotomy.Laryngoscope 90: 47–52Google Scholar
Bough, I. D. Jr, Huang, J. J., Pribitkin, E. A. (1994) Orbital decompression for Graves' disease complicated by sinusitis. Annals of Otology, Rhinology and Laryngology 103(12): 988–990.CrossRefGoogle ScholarPubMed
Garrity, J. A., Fatourechi, V., Bergstralh, E. J., Bartley, G. B., Beatty, C. W., DeSanto, L. W., Gorman, C. A. (1993) Results of transantral orbital decompression in 428 patients with severe Graves' ophthalmopathy.American Journal of Ophthalmology 116(5):533–547.CrossRefGoogle ScholarPubMed
Kennedy, D. W., Goodstein, M. L., Miller, N. R., Zinreich, S. J. (1990) Endoscopic transnasal orbital decompression.Archives of Otolaryngology, Head and Neck Surgery 116(3):275–282.CrossRefGoogle ScholarPubMed
MacBeth, R. G. (1954) The osteoplastic operation for chronic infection of the frontal sinus.Journal of Laryngology and Otology 68: 465–477Google Scholar
Warren, J. D., Spector, J. G., Burde, R. (1989) Long-term follow-up and recent observation on 305 cases of orbital decompression for dysthyroid orbitopathy.Laryngoscope 9(1): 35–40.CrossRefGoogle Scholar