J Korean Ophthalmol Soc.  1998 Oct;39(10):2459-2464.

Subperiosteal Abscess Secondary to Dentoalveolar Abscess: 1 Case Report

Affiliations
  • 1Department of Ophthalmology, School of Medicine. Hallym University, Chun-Chon, Korea.

Abstract

Suppuaration between the orbital bone and the periorbita produces a subperiosteal abscess. Subperiosteal abscess is a rare condition, which usually developes as a complication of the infection of paranasal sinuses. While the case originated from dentoalveolar infection have been reported. The clinical presentation is eyelid swelling, erythema, proptosis, conjunctival chemosis, ocular motility limitation, decreased visual acuity. Diagnostic methods available for evalulating subperiosteal abscess include sinus X-ray, ultrasound, computed tomography(CT), and bacterial culture of abscess content. Subperiosteal abscess is treated with intravenous antibiotics and surgical drainage. Prompt diagnosis and treatement are necessory ot prevent visual loss, cavernous sinus thrombosis, subdural abscess, even death. The authors experienced a sixty one year old male who complianed of right buccal swelling and tenderness, eyelid swelling, erythema, proptosis, conjunctival chemosis, eyeball motility limitation on right eye. His facial computed tomography disclosed subperiosteal abscess with infratemporal and parapharyngeal inflammation. An intravenous antibiotics injection and surgical drainage improve the symptom and sign, So we present our case with a brief review of the literature related to subperiosteal abscess secondary to dentoalveolar inflammation.

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