A Case of Rhinogenic Orbital Subperiosteal Abscess in a Child

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  • 小児鼻性眼窩骨膜下膿瘍例
  • 臨床 小児鼻性眼窩骨膜下膿瘍例
  • リンショウ ショウニ ビセイガンカコツマク カ ノウヨウレイ

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Abstract

<p>Orbital cellulitis and abscess formation in pediatric patients usually arises as a complication of acute rhinosinusitis, and if untreated, may cause visual loss or life-threatening intracranial complications.</p><p>We report a pediatric case of orbital subperiosteal abscess secondary to acute rhinosinusitis.</p><p>An 11-year-old boy presented with purulent nasal discharge, periorbital swelling and proptosis on the right side. A head computed tomography (CT) showed a medial subperiosteal orbital abscess and destruction of part of the medial wall of the orbital bone. The patient was treated with intravenous antibiotics for four days, however, the periorbital swelling and proptosis persisted. Therefore, we performed endoscopic sinus surgery and drained the subperiosteal abscess through the bony dehiscence. The swelling and proptosis resolved, and the patient was discharged on postoperative day 6. A repeat CT performed during the postoperative follow-up period showed complete resolution of the orbital and nasal lesions.</p><p>This case demonstrated that surgical treatment is effective and necessary in patients with an orbital subperiosteal abscess in whom conservative therapy proves ineffective.</p>

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