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Orbital complications:diagnosis of different rhinological causes

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

To evaluate the clinical course of orbital complication using a standardised diagnostic pathway. Seventy-three patients with orbital complications underwent a multimodal diagnostic pathway comprising ENT examination, leucocytes/CRP, CT-/MRI-scanning and disease-related data. Twenty-nine patients suffered from rhinosinusitis, 28 from mucoceles, 13 patients from neoplasms and three patients from rheumatic disorders. Clinical examination diagnosed 60 patients with eyelid swelling, 55 patients with ocular pain, 14 patients with diplopia, 4 patients with exophthalmus, 29 patients with visual field defect and 4 patients with visual loss. The diagnostic pathway identified acute rhinosinusitis with a sensitivity/specificity of 90 %/90 %, mucoceles with 79 %/100 %, neoplasms with 100 %/96 % and granulomatosis with polyangiitis with 100 %/100 %, respectively. All patients left the hospital in good general condition and with regular ocular motility; two patients suffered persistent visual loss. The standardised application of a widely accepted diagnostic pathway reliably distinguishes different causes of orbital complication.

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The authors declare no conflict of interest.

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Authors and Affiliations

  1. Hals-, Nasen-, Ohrenklinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, Munich, Germany

    Yumiko Matsuba, Ulrich Strassen, Benedikt Hofauer, Murat Bas & Andreas Knopf

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  1. Yumiko Matsuba
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  2. Ulrich Strassen
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  3. Benedikt Hofauer
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  4. Murat Bas
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  5. Andreas Knopf
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Correspondence to Andreas Knopf.

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Matsuba, Y., Strassen, U., Hofauer, B. et al. Orbital complications:diagnosis of different rhinological causes. Eur Arch Otorhinolaryngol 272, 2319–2326 (2015). https://doi.org/10.1007/s00405-014-3338-2

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  • DOI: https://doi.org/10.1007/s00405-014-3338-2

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