Surgical Management of Subperiosteal Orbital Abscess: Case Report

H. Çağatay, Metin Ekinci, Yaran Koban, Özlem Daraman, E. Oba, Sezgin Kurt, M. Külekçi, D. Kara
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Abstract

202 Acute sinusitis is a common disorder which may cause serious orbital or intracranial complications. Subperiosteal orbital abscess (SPOA) may result from osteotic bone destruction, congenital or acquired bony defects or through the thrombophlebitis of communicating veins.1,2 When the infection does not penetrate the periorbit, it dissects under the periosteum and forms a SPOA of the orbit. Whereas the other sinuses may also be involved, infection mostly originates from ethmoid sinuses. Once a SPOA develops, surgical drainage is often required as well as intravenous antibiotics. In untreated or even treated cases, there is a potential risk for permanent visual loss or additional intracranial complications. 3 However, transnasal endoscopic management of SPOA has gained popularity in recent years, open surgical approach is still an option in treating SPOA.4 In this study, we aimed to report the present clinical outcomes of surgically Surgical Management of Subperiosteal Orbital Abscess: Case Report
眼眶骨膜下脓肿的外科治疗1例
急性鼻窦炎是一种常见的疾病,可引起严重的眼眶或颅内并发症。骨膜下眶脓肿(SPOA)可能是由骨破坏、先天性或获得性骨缺损或通过交通静脉血栓性静脉炎引起的。当感染未穿透眶周时,它在骨膜下剥离,形成眼眶SPOA。虽然其他鼻窦也可能受累,但感染主要来自筛窦。一旦SPOA发生,通常需要手术引流以及静脉注射抗生素。在未经治疗甚至治疗的病例中,存在永久性视力丧失或额外颅内并发症的潜在风险。3然而,近年来经鼻内镜治疗SPOA越来越流行,开放手术仍是SPOA治疗的一种选择。4在本研究中,我们旨在报告手术治疗骨膜下眶脓肿的临床结果:病例报告
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