Case Report
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PERIORBITAL ABSCESS AFTER ORBITAL CELLULITIS: A CASE REPORT

Year 2012, Volume: 6 Issue: 3, 146 - 149, 25.12.2012

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.

References

  • 1. Vairaktaris E, Moschos MM, Vassiliou S. et al. Orbital cellulitis, orbital subperiosteal and intraorbital abscess. Report of three cases and review of the literature. Journal of Cranio-maxillofacial Surgery. 2009;3:37.
  • 2. Chaudhry IA, Shamsi FA, Elzaridi E et al. Outcome of Treated Orbital Cellulitis in a Tertiary Eye Care Center in the Middle East. Opthalmology. 2007;114:345-54.
  • 3. Boom WH, Tauazon CU. Successful treatment of multiple brain abscess with antibiotic alone. Rev. Infect. Dis. 1985;7:189-99.
  • 4. Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 1970;80:1414-28.
  • 5. Brook I, Friedman EM, Rodriguez WJ, Controni G. Complications of sinusitis in children. Pediatrics. 1980;66: 568-72.
  • 6. Harris GJ. Subperiosteal abscess of the orbit: age as a factor in the bacteriology and response to treatment. Opthalmology. 1994;101:585-95.
  • 7. Howe L, Jones NS. Guidelines for the management of periorbital cellulitis/ab-scess. Clin Otolaryngol. 2004;29:725-8.
  • 8. Scheid DC, Hamm RM. Acute bacterial rhinosinusitis in adults: part II. Treatment. Am Fam Physician. 2004;70:1697-704.
  • 9. Harris GJ. Subperiosteal abscess of the orbit: older children and adults require aggressive treatment. Opthal Plast Reconstr Surg. 2001;17:395-97.
  • 10. Rahbar R, Robson CD, Petersen RA et al. Management of orbital subperiostal abscess in children. Arch Otolaryngol Head Neck Surg. 2001;127:281-86.

ORBİTAL SELÜLÎT SONRASI PERİORBİTAL APSE: BİR OLGU SUNUMU

Year 2012, Volume: 6 Issue: 3, 146 - 149, 25.12.2012

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

References

  • 1. Vairaktaris E, Moschos MM, Vassiliou S. et al. Orbital cellulitis, orbital subperiosteal and intraorbital abscess. Report of three cases and review of the literature. Journal of Cranio-maxillofacial Surgery. 2009;3:37.
  • 2. Chaudhry IA, Shamsi FA, Elzaridi E et al. Outcome of Treated Orbital Cellulitis in a Tertiary Eye Care Center in the Middle East. Opthalmology. 2007;114:345-54.
  • 3. Boom WH, Tauazon CU. Successful treatment of multiple brain abscess with antibiotic alone. Rev. Infect. Dis. 1985;7:189-99.
  • 4. Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 1970;80:1414-28.
  • 5. Brook I, Friedman EM, Rodriguez WJ, Controni G. Complications of sinusitis in children. Pediatrics. 1980;66: 568-72.
  • 6. Harris GJ. Subperiosteal abscess of the orbit: age as a factor in the bacteriology and response to treatment. Opthalmology. 1994;101:585-95.
  • 7. Howe L, Jones NS. Guidelines for the management of periorbital cellulitis/ab-scess. Clin Otolaryngol. 2004;29:725-8.
  • 8. Scheid DC, Hamm RM. Acute bacterial rhinosinusitis in adults: part II. Treatment. Am Fam Physician. 2004;70:1697-704.
  • 9. Harris GJ. Subperiosteal abscess of the orbit: older children and adults require aggressive treatment. Opthal Plast Reconstr Surg. 2001;17:395-97.
  • 10. Rahbar R, Robson CD, Petersen RA et al. Management of orbital subperiostal abscess in children. Arch Otolaryngol Head Neck Surg. 2001;127:281-86.
There are 10 citations in total.

Details

Primary Language Turkish
Subjects Ophthalmology
Journal Section Case Reports
Authors

Emine Akçay

Publication Date December 25, 2012
Published in Issue Year 2012 Volume: 6 Issue: 3

Cite

APA Akçay, E. (2012). ORBİTAL SELÜLÎT SONRASI PERİORBİTAL APSE: BİR OLGU SUNUMU. Türk Tıp Dergisi, 6(3), 146-149.

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