Superiorly based subperiosteal orbital abscess: an uncommon presentation
| Autor: | Paraskevi Kollia, Aristeidis Chrysovergis, Georgios Chrysovitsiotis, Efthymios Kyrodimos |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty genetic structures Case Report 03 medical and health sciences 0302 clinical medicine Orbital Diseases Frontal Sinusitis Humans Medicine Nasal polyps 030223 otorhinolaryngology Abscess Diplopia Medial orbital wall medicine.diagnostic_test business.industry Endoscopy General Medicine Orbital Cellulitis medicine.disease eye diseases Surgery 030221 ophthalmology & optometry Drainage Female medicine.symptom Presentation (obstetrics) business Orbit Orbital abscess |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2020-239861 |
| Popis: | A 32-year-old female patient presented with severe facial pain, right eye proptosis and diplopia. Endoscopy revealed ipsilateral crusting, purulent discharge and bilateral nasal polyps. Imaging demonstrated a subperiosteal abscess on the roof of the right orbit. Due to patient’s significant ocular manifestations, surgical management was decided. The abscess was drained using combined endoscopic and external approach, via a Lynch-Howarth incision. Following rapid postoperative improvement, patient’s regular follow-up remains uneventful. A subperiosteal orbital abscess is a severe complication of rhinosinusitis that can ultimately endanger a patient’s vision. It is most commonly located on the medial orbital wall, resulting from direct spread of infection from the ethmoid cells. The rather uncommon superiorly based subperiosteal abscess occurs superiorly to the frontoethmoidal suture line, with frontal sinusitis being its main cause. Treating it solely endoscopically is more challenging than in medial wall abscesses, and a combined approach is often necessary. |
| Databáze: | OpenAIRE |
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