J Korean Ophthalmol Soc.  1999 Jul;40(7):1998-2003.

A Case of Orbital Subperiosteal Abscess Associated with Acute Paranasal Sinusitis after Trauma

Affiliations
  • 1Department of Ophthalmology, St.Mary 's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Although orbital abscess is seen in all age, it is found predominantly in children 16 years of age or less. It may result from orbital trauma, foreign body, inflammation and direct spillage or hematogenous extension of bacteria from sinuses to orbit. The authors experienced a 8-year-old male patient who presented with proptosis, decreased visual acuity, and limitation of eyeball movement on left eye after injury by soccer ball. Orbital subperiosteal abscess or orbital rhabdomyosarcoma were suspected, and the patient was operated for biopsy and removal of mass. Subperiosteal abscess was found below frontal bone during exploration, and incisional drainage and massive irrigation was done. At postoperative seventh day, visual acuity of the patient was 20/20, proptosis was markedly decreased and eyeball movement was normal. The authors experienced a case of orbital subperiosteal abscess associated with acute paranasal sinusitis after trauma, and a good result was obtained following surgical draining.

Keyword

Acute paranasal sinusitis; Subperiosteal abscess; Surgical draining
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