鼻性眼窩内合併症をきたした急性副鼻腔炎の2例

Two cases of acute sinusitis associated with the orbital complications

はじめに

　鼻性眼窩内合併症は鼻副鼻腔疾患が原因で発症し，眼痛や眼瞼腫脹，眼球運動障害，視力障害などの視器症状をきたす疾患である。急激に視器症状が進行することが多く，耳鼻咽喉科疾患のなかでも緊急性の高い疾患の1つである。今回われわれは鼻性眼窩内合併症をきたした急性副鼻腔炎の2症例を経験したので，文献的考察を加えて報告する。

　Orbital complications of sinusitis manifested various eye symptoms such as eye pain and eyelid swelling, eye movement disorder and blindness. A delay in diagnosis and appropriate treatment may result in serious complications including blindness. We treated two cases of the orbital complications caused by acute sinusitis. Patient 1 was a 11-month-old girl who presented with subperiosteal abscess. Patient 2 was a 14-year-old boy who presented with eyelid cellulitis. Both patients underwent surgical treatment with ESS. They healed satisfactorily without sequelae.