OSTEOMYELITIS OF THE ORBIT

Although rare, orbital osteomyelitis secondary to sinusitis can be dev astating. Early, aggressive ophthalmologic surgical intervention, as w ell as otorhinolaryngologic co-management, is necessary to obtain the best outcomes. We present two cases of orbital osteomyelitis. One pati ent remained infected with Pseudomonas meningitis even after extensive sinus and orbital surgery, rapidly declined, and is now deceased. The other patient, after multiple sinus procedures and a medial orbitotom y, was placed on hyperbaric oxygen and is still undergoing treatment.