Acute invasive fungal rhinosinusitis related orbital infection secondary to odontogenic infection

Dennis Levy; Melvyn Yeoh

doi:10.1016/j.omsc.2022.100282

Acute invasive fungal rhinosinusitis related orbital infection secondary to odontogenic infection

Dennis Levy, Melvyn Yeoh

Oral Health Science

Research output: Contribution to journal › Article › peer-review

Abstract

A 64-year old male presented to our institution with painful ophthalmoplegia. The initial differential diagnosis included orbital apex disorders, such as orbital apex syndrome (OAS), cavernous sinus thrombosis (CST), and superior orbital fissure syndrome (SOFS). Ultimately, the diagnosis was acute invasive fungal rhinosinusitis (AIFRS) secondary to an odontogenic infection from carious teeth in the maxilla. Significant overlap exists between AIFRS and orbital apex disorders, making it prudent to include AIFRS in the differential diagnosis for painful ophthalmoplegia. The purpose of this review is to detail this specific patient's presentation and hospital course along with a brief review of AIFRS and orbital apex disorders with their distinguishing features.

Original language	English
Article number	100282
Journal	Oral and Maxillofacial Surgery Cases
Volume	8
Issue number	4
DOIs	https://doi.org/10.1016/j.omsc.2022.100282
State	Published - Dec 2022

Bibliographical note

Publisher Copyright:
© 2022 The Authors

Keywords

Cavernous sinus
Ophthalmoplegia
Orbital apex
Rhinosinusitis
Superior orbital fissure

ASJC Scopus subject areas

Surgery
Oral Surgery
Otorhinolaryngology

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10.1016/j.omsc.2022.100282

Cite this

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title = "Acute invasive fungal rhinosinusitis related orbital infection secondary to odontogenic infection",

abstract = "A 64-year old male presented to our institution with painful ophthalmoplegia. The initial differential diagnosis included orbital apex disorders, such as orbital apex syndrome (OAS), cavernous sinus thrombosis (CST), and superior orbital fissure syndrome (SOFS). Ultimately, the diagnosis was acute invasive fungal rhinosinusitis (AIFRS) secondary to an odontogenic infection from carious teeth in the maxilla. Significant overlap exists between AIFRS and orbital apex disorders, making it prudent to include AIFRS in the differential diagnosis for painful ophthalmoplegia. The purpose of this review is to detail this specific patient's presentation and hospital course along with a brief review of AIFRS and orbital apex disorders with their distinguishing features.",

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T1 - Acute invasive fungal rhinosinusitis related orbital infection secondary to odontogenic infection

AU - Levy, Dennis

AU - Yeoh, Melvyn

PY - 2022/12

Y1 - 2022/12

N2 - A 64-year old male presented to our institution with painful ophthalmoplegia. The initial differential diagnosis included orbital apex disorders, such as orbital apex syndrome (OAS), cavernous sinus thrombosis (CST), and superior orbital fissure syndrome (SOFS). Ultimately, the diagnosis was acute invasive fungal rhinosinusitis (AIFRS) secondary to an odontogenic infection from carious teeth in the maxilla. Significant overlap exists between AIFRS and orbital apex disorders, making it prudent to include AIFRS in the differential diagnosis for painful ophthalmoplegia. The purpose of this review is to detail this specific patient's presentation and hospital course along with a brief review of AIFRS and orbital apex disorders with their distinguishing features.

AB - A 64-year old male presented to our institution with painful ophthalmoplegia. The initial differential diagnosis included orbital apex disorders, such as orbital apex syndrome (OAS), cavernous sinus thrombosis (CST), and superior orbital fissure syndrome (SOFS). Ultimately, the diagnosis was acute invasive fungal rhinosinusitis (AIFRS) secondary to an odontogenic infection from carious teeth in the maxilla. Significant overlap exists between AIFRS and orbital apex disorders, making it prudent to include AIFRS in the differential diagnosis for painful ophthalmoplegia. The purpose of this review is to detail this specific patient's presentation and hospital course along with a brief review of AIFRS and orbital apex disorders with their distinguishing features.

KW - Cavernous sinus

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KW - Orbital apex

KW - Rhinosinusitis

KW - Superior orbital fissure

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Acute invasive fungal rhinosinusitis related orbital infection secondary to odontogenic infection

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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