Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Extended pterional orbital decompression in severe orbital cellulitis.

M C Korinth¹, M R Weinzierl, W Banghard

¹Department of Neurosurgery, University Hospital RWTH Aachen, Germany.

Acta Neurochirurgica

|May 16, 2003

Summary

Severe bacterial orbital cellulitis can threaten vision. Extended pterional orbital decompression effectively reduced orbital pressure and improved vision in three patients, offering a valuable surgical option.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Value of cine phase contrast magnetic resonance imaging to predict obstructive hydrocephalus.

Journal of neurological surgery. Part A, Central European neurosurgery·2014

Same author

The immediately failed lumbar disc surgery: incidence, aetiologies, imaging and management.

Neurosurgical review·2014

Same author

Blunted serum and enhanced salivary free cortisol concentrations in the chronic phase after aneurysmal subarachnoid haemorrhage--is stress the culprit?

Stress (Amsterdam, Netherlands)·2012

Same author

Neurosurgical strategies and operative results in the treatment of tumors of or extending to the petrous apex.

Minimally invasive neurosurgery : MIN·2011

Same author

The awakened intraspinal glass shard.

Acta neurochirurgica·2008

Same author

Growth hormone deficient patients after traumatic brain injury--baseline characteristics and benefits after growth hormone replacement--an analysis of the German KIMS database.

Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society·2008

Area of Science:

Ophthalmology
Infectious Diseases
Neurosurgery

Background:

Bacterial orbital cellulitis is a rare infection that can compromise orbital structures.
Standard antibiotic therapy may be insufficient for severe cases.
Sinus surgery is sometimes required for drainage.

Observation:

Three patients with severe orbital cellulitis presented with vision loss, proptosis, pupillary disturbances, and restricted eye movements despite antibiotics.
These patients underwent extended pterional orbital decompression, involving removal of lateral and superolateral orbital walls to reduce intraorbital pressure.

Findings:

All three patients showed significant improvement in their presenting symptoms following the surgical decompression.
No operative complications were reported in any of the cases.

Related Experiment Videos

Implications:

Extended pterional orbital decompression is an effective adjunctive treatment for severe orbital cellulitis.
This surgical approach can rapidly decrease orbital pressure, safeguarding neural and vascular structures and preserving ocular function.