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lüll Orbital complications of acute rhinosinusitis: a new classification Velasco e Cruz AA; Demarco RC; Valera FC; dos Santos AC; Anselmo-Lima WT; Marquezini RMBraz J Otorhinolaryngol 2007[Sep]; 73 (5): 684-8Rhinosinusitis is a severe sickness and may have serious complications. Orbital complications happen more often, due to anatomical particularities and are lethal in 5% of patients. They vary from inflammatory signs to proptosis, loss of ocular motility and blindness. AIM: We propose a new classification of acute rhinosinusitis complications. METHODS: A review of 83 patients with CT scan and clinical reports. Patients were evaluated at HCFMRP-USP between 1995 and 2005 and were diagnosed with complicated rhinosinusitis. RESULTS: In sixty-six patients, were identified three types of orbital complications: orbital cellulitis (46.9%), subperiosteal abscess (40.9%) and orbital abscess (12.1%). Seventeen were considered as eyelid infections and excluded from this new classification system. CONCLUSIONS: The existing classifications of orbital complications, as Chandlers, do not consider the orbits anatomical characteristics and became obsolete after the development of the CT scan. This study proposes a new, more objective classification to guide the physician in establishing lines of conduct for each case.|Abscess/diagnostic imaging/*etiology[MESH]|Acute Disease[MESH]|Adolescent[MESH]|Adult[MESH]|Aged[MESH]|Cellulitis/diagnostic imaging/*etiology[MESH]|Child[MESH]|Child, Preschool[MESH]|Female[MESH]|Humans[MESH]|Infant[MESH]|Infant, Newborn[MESH]|Male[MESH]|Middle Aged[MESH]|Orbital Diseases/classification/diagnostic imaging/*etiology[MESH]|Retrospective Studies[MESH]|Rhinitis/*complications/diagnostic imaging[MESH]|Sinusitis/*complications/diagnostic imaging[MESH]|Tomography, X-Ray Computed[MESH] |