Korean J Ophthalmol.  1997 Dec;11(2):118-122. 10.3341/kjo.1997.11.2.118.

Subperiosteal hematoma of the orbit associated with sinusitis

• Woo KI
• Kim YD

• KMID: 1375110
• DOI: http://doi.org/10.3341/kjo.1997.11.2.118

Abstract

Subperiosteal hematoma of the orbit is a rare but well-recognized entity, usually caused by trauma. Two cases of subperiosteal hematoma associated with sinusitis are presented. A 44-year-old woman experienced the sudden onset of proptosis, and decreased visual acuity. Computed tomographic scanning and magnetic resonance imaging revealed a frontoethmoidal mucocele and a biconvex mass in the upper part of the left orbit. The mucocele was drained during nasal endoscopic surgery and the subperiosteal hematoma was evacuated during superior orbitotomy. A 42-year-old man had a headache and proptosis. Computed tomographic scan revealed sinusitis and subperiosteal orbital hematoma of the left orbit. Subperiosteal orbital hematoma associated with sinusitis is extremely rare but should be suspected in a patient with acute onset of proptosis in whom computed tomographic scanning reveals paranasal sinusitis.

MeSH Terms

Adult
Ethmoid Sinus
Exophthalmos/etiology
Female
Follow-Up Studies
Frontal Sinus
Hematoma/surgery
Hematoma/etiology*
Hematoma/diagnosis
Human
Magnetic Resonance Imaging
Male
Mucocele/surgery
Mucocele/diagnosis
Mucocele/complications
Orbital Diseases/surgery
Orbital Diseases/etiology*
Orbital Diseases/diagnosis
Periosteum
Sinusitis/surgery
Sinusitis/diagnosis
Sinusitis/complications*
Tomography, X-Ray Computed