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Delayed intraorbital infection after craniofacial bone surgery
Joo Sung Jung1, Nam Kyu Lim1, Dong Hee Kang1
1Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, Korea.
Archives of Craniofacial Surgery
|October 30, 2019
Summary
Intraorbital infections following craniofacial fractures are rare but serious. Prompt diagnosis and aggressive treatment of maxillary sinus infections are crucial to prevent severe outcomes like blindness.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Maxillofacial Surgery
Background:
- Intraorbital infections, though rare, pose significant risks including blindness and mortality.
- Craniofacial bone fractures can predispose individuals to secondary infections.
Observation:
- A patient with a history of craniofacial surgery presented with cheek swelling, proptosis, and conjunctival pus.
- Infection originated from the maxillary sinus following a prior craniofacial bone fracture.
Findings:
- Bacterial cultures identified Prevotella oralis in the intraorbital space and methicillin-resistant Staphylococcus epidermidis in the maxillary sinus.
- Despite aggressive treatment with intravenous antibiotics and surgical drainage, permanent vision loss and extraocular muscle dysfunction occurred.
Implications:
- Highlights the critical need for vigilant monitoring of the maxillary sinus in patients with facial bone fractures.
- Emphasizes the importance of prompt and aggressive management of diagnosed sinus infections to mitigate severe intraorbital complications.
