Journal of Rhinology 2005;12(1):50-54.
Published online May 31, 2005.
Clinical Analysis of Orbital Subperiosteal Abscess
Seung Won Chung, Jae Gu Cho, Sang Hag Lee, Seung Hoon Lee, Soon Jae Hwang, Heung Man Lee
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea. lhman@korea.ac.kr
안와 골막하 농양의 임상적 분석
정승원, 조재구, 이상학, 이승훈, 황순재, 이흥만
고려대학교 의과대학 이비인후-두경부외과학교실
Abstract
Background and Objectives
Subperiosteal abscess is one of the most common orbital complications of sinusitis. It occurs secondary to the spread of infection through natural dehesience of orbital wall, bony suture line, and vein. One of serious complications of subperiosteal abscess is permanently decreased visual acuity, and its incidence is reported as 15-30%. The purpose of this study is to assess the clinical features, diagnosis, management, and therapeutic results.
MATERIALS AND METHODS
We reviewd retrospectively the medical records of 7 patients with subperiosteal abscess for recent 13 years. Patients were 5 males and 2 females, and the age of patients ranged from 4 to 64 years.
Results
3 cases of subperiosteal abscesses developed in medial wall, 3 cases in superior wall and 1 case in inferior wall. We did successful surgical drainage in 5 patients and 2 cases were treated with intravenous antibiotics only. In case of medial and inferior wall, drainage procedure was done safely by endoscopic sinus surgery. However, in case of superior wall, traditional external approach was used.
Conclusion
Exact ophthalmologic evaluation and CT finding are important in determinig surgical treatment. Furtehrmore, method of surgical approach depends on the sites of subperiosteal abscess.
Key Words: Subperiosteal abscess;Sinusitis




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