Presentation
Double vision, photophobia, pain on moving eye, right maxillary pain, numbness and swelling. FNE: pus and crusiting right nasal cavity with edema of maxillary meatus.
Patient Data
Right maxillary sinusitis with extension into the orbit through the orbital floor. Inflamed inferior rectus muscle and right sided proptosis. Inflammatory change tracks posteriorly into the pterygopalatine fossa.
1. Right maxillary sinusitis with extension into the orbit through the orbital floor.
2. Maxillectomy, anterior and posterior ethmoidectomy, right sphenopalatine artery ligation and medial orbital wall decompression.
3. Right orbit exenteration. Disease involves right pterygopalatine fossa, orbital apex and cavernous sinus.
Case Discussion
Case highlights the disasterous impact of invasive fungal sinusitis. Treatment is often very aggressive with poor outcomes.
Unable to process the form. Check for errors and try again.