Complications of sinusitis can be local, orbital, intracranial, or descending infections. Local complications include mucoceles and mucopyoceles of the paranasal sinuses which present as cystic swellings that can displace the eyeball. Orbital complications arise when infection spreads to the orbit through the thin bone separating the sinuses from the orbit, such as subperiosteal abscesses, orbital cellulitis, and orbital abscesses. Intracranial complications include meningitis, extradural abscesses, and cavernous sinus thrombosis which can cause paralysis of cranial nerves. Descending infections involve spread of infection from sinuses to areas like the ears, pharynx