Subperiosteal orbital hematoma concomitant with abscess in a patient with sinusitis: A case report.

Autor:	Hu XH; Department of Otolaryngology-Head & Neck Surgery, Peking University First Hospital, Beijing 100034, China., Zhang C; Department of Otolaryngology-Head & Neck Surgery, Peking University First Hospital, Beijing 100034, China., Dong YK; Department of Otolaryngology-Head & Neck Surgery, Peking University First Hospital, Beijing 100034, China.; Department of Otolaryngology-Head & Neck Surgery, Zhengzhou Central Hospital, Zhengzhou 450007, Henan Province, China., Cong TC; Department of Otolaryngology-Head & Neck Surgery, Peking University First Hospital, Beijing 100034, China. congtiechuan@bjmu.edu.cn.
Jazyk:	angličtina
Zdroj:	World journal of clinical cases [World J Clin Cases] 2022 Oct 06; Vol. 10 (28), pp. 10326-10331.
DOI:	10.12998/wjcc.v10.i28.10326
Abstrakt:	Background: Sinusitis-derived subperiosteal orbital collection is uncommon and is usually diagnosed as subperiosteal orbital abscess or, rarely, as hematoma. We report a unique and even rarer case of subperiosteal orbital collection, which is actually a complication of hematoma and abscess. Case Summary: A 26-year-old female presented with left eyeball pain and ipsilateral chemosis. She had no history of head trauma or upper respiratory infection. Her blood cell count showed an increase in leukocytes. Fiberoptic rhinolaryngoscopy revealed only mucosal edema of the left olfactory crest without apparent discharge. The computed tomography scan results showed an opaque left posterior ethmoid cell with a thickened bony shell and fusiform changes in the periosteal elevation of the medial wall of the left orbit. Emergent surgery revealed an ethmoid mucocele complicated with subperiosteal orbital hematoma and abscess. The pathology of the lamina papyracea between the mucocele and subperiosteal collection was necrotic, and the overlying mucosa was de-epithelialized. Conclusion: Subperiosteal orbital hematoma with abscess in a patient with sinusitis adds to the current knowledge of orbital complications of sinusitis. Competing Interests: Conflict-of-interest statement: The authors declare that they have no conflict of interest. (©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze:	MEDLINE
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