Abscess of the Nasal Septum and the Orbital Cavity Complicating an Acute Ethmoidomaxillary Sinusitis of the Child

A. Elboukhari, M. Lagtoubi, N Touihem, K Nadour, H Attifi, M Zalagh, A Zouhair

Abstract: Objectives Our objective is to present and discuss a rare situation that combines a double extrasinusal abscess complicating acute sinusitis. Case report A 13-year-old boy presented to the emergency room with swelling of the upper left eyelid associated with purulent rhinorrhea and nasal obstruction of the same side. CT suspected the diagnosis of thmodo-maxillary sinusitis and the two abscesses of the orbital cavity and nasal septum. The treatment included under antibiotic therapy, the surgical drainage of all intra- and extrasinusal purulent collections. Conclusion The intra-orbital abscess associated with the abscess of the nasal septum is a rare complication of acute sinusitis and constitutes a diagnostic and therapeutic emergency. Early diagnosis and adapted treatment of acute sinusitis can avoid these complications.

Keywords: intra-orbital and nasal septum double abscess, ethmoidomaxillary sinusitis