ORBİTAL SELÜLÎT SONRASI PERİORBİTAL APSE: BİR OLGU SUNUMU

Abstract

Periorbital apse, menenjit, kavernöz sinüs trombozu, beyin apsesi gibi komplikasyonlar orbital selülit bulgularıyla takip edilen hastalarda, tedavinin geç veya yetersiz olduğu olgularda görülebilir. Bu yazıda orbital selülite bağlı periorbital apse gelişen olgunun tanı ve tedavisi sunulmuştur. 13 yaşında çocuk hasta sol gözde bir gündür mevcut olan ve hızla artan ağrı, şişme ve ani görme azalması şikayetiyle kliniğimize başvurdu. Oftalmolojik muayenesinde sol göz kapaklarında ödem, kızarıklık, ısı artışı, göz hareketlerinde kısıtlılık, çift görme ve proptoz tespit edildi. Orbital selülit ön tanısıyla Bilgisayarlı Tomografi (BT) çekildi. BT de sol cilt altında ve ekstrakonal düzlemde orbital apse ve aynı zamanda paranazal sinüzit tespit edildi. Hasta kulak burun boğaz (KBB) kliniğine danışıldı ve genel anestezi altında apse boşaltımı uygulandı. Erken tanı ve acil cerrahi girişim tam görsel iyileştirme sağlama yönünden periorbital apse tedavisinde büyük önem taşır. Dr. Emine KALKAN AKÇAY Dr. Sıdıka GERÇEKER Dr. Derya DAL Dr. Şaban ŞİMŞEK Dr. Gökhan YALÇINER

Keywords

• Orbital selülit
• orbital apse
• cerrahi

PERIORBITAL ABSCESS AFTER ORBITAL CELLULITIS: A CASE REPORT

Abstract

The complications such as periorbital abscess, menengitis, cavernous sinus trombosis, brain abscess may be seen in cases of periorbital cellulitis with late or inadequate treatment. In this case, the diagnosis and treatment of periorbital abscess secondary to orbital cellulitis is reported. A thirteen- year- old child was referred to our clinic complaining pain, swelling, acute decrease in vision in his left eye having been lasting for a day. On ophthalmic examination eyelid edema, hyperemia, increased temperature, restriction in ocular motility, diplopia and proptosis of his left eye were found. Therefore computed tomography (CT) was performed with a presumptive diagnosis of orbital cellulitis. CT revealed left orbital abscess at subcutaneus and extraconal location and also paranasal sinusitis. The patient was consulted to ear, nose and throat (ENT) clinic and abscess drenation was performed under general anesthesia. Early diagnosis and emergent surgery has great importance in the management of periorbital abscess to provide exact visual rehabilitation.

Keywords

• Orbital cellulitis
• orbital abscess
• surgery

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