Principles of intensive therapy for rhinogenic orbital and intracranial complications

Patients with rhinogenic orbital and intracranial complications require urgent care and treatment involving various specialists. On the basis of the clinical material for 35 years including 347 orbital and 33 intracranial complications the modern rational tactics of their emergency therapy at inflammatory diseases of the paranasal sinuses was developed. Treatment of patients with orbital and intracranial rhinogenic complications requires timely wide scale surgical intervention and vigorous medication therapy. Urgent surgical intervention on all affected paranasal sinuses with revision of the orbit or cranial cavity is mandatory. X-ray examination of the paranasal sinuses, puncture of the maxillary sinuses and trepanopuncture of the frontal sinuses, EEG, ECHO-EG, REG data help in determining the volume of surgical intervention. As a rule, it is necessary to open all affected sinuses on one side or even switch to the other side. In rare cases, it is necessary to open all perinasal sinuses on both sides. When performing a radical operation of the frontal sinus, it is necessary to perform mandatory revision of the other sinus through the intercorporal septum.