A Case of Orbital Subperiosteal Abscess Associated with Acute Paranasal Sinusitis after Trauma.

Park, Sung Jin; Choi, Woong Chul

Original Article

Journal of the Korean Ophthalmological Society 1999;40(7):1998-2003.
Published online July 1, 1999.

A Case of Orbital Subperiosteal Abscess Associated with Acute Paranasal Sinusitis after Trauma.

Sung Jin Park, Woong Chul Choi

Department of Ophthalmology, St.Mary 's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

외상 후에 발생한 급성 부비동염과 동반된 안와 골막하 농양 1례

박성진(Sung Jin Park),최웅철(Woong Chul Choi)

Abstract

Although orbital abscess is seen in all age, it is found predominantly in children 16 years of age or less. It may result from orbital trauma, foreign body, inflammation and direct spillage or hematogenous extension of bacteria from sinuses to orbit. The authors experienced a 8-year-old male patient who presented with proptosis, decreased visual acuity, and limitation of eyeball movement on left eye after injury by soccer ball. Orbital subperiosteal abscess or orbital rhabdomyosarcoma were suspected, and the patient was operated for biopsy and removal of mass. Subperiosteal abscess was found below frontal bone during exploration, and incisional drainage and massive irrigation was done. At postoperative seventh day, visual acuity of the patient was 20/20, proptosis was markedly decreased and eyeball movement was normal. The authors experienced a case of orbital subperiosteal abscess associated with acute paranasal sinusitis after trauma, and a good result was obtained following surgical draining.

Key Words: Acute paranasal sinusitis;Subperiosteal abscess;Surgical draining