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Subperiosteal orbital abscess from odontogenic origin: A case report
Joris Geusens1, Kathia Dubron1, Jan Meeus1
1Department of Oral and Maxillofacial Surgery, Leuven University Hospitals, Leuven, Belgium.
International Journal of Surgery Case Reports
|July 30, 2020
Summary
Subperiosteal orbital abscesses, a rare complication of dental infections, can cause vision loss and neurological issues. Prompt diagnosis and extraoral drainage are vital to prevent permanent damage from these serious odontogenic infections.
Area of Science:
- Ophthalmology
- Dentistry
- Infectious Diseases
Background:
- Subperiosteal orbital abscesses are infrequent but serious complications of odontogenic infections.
- These infections can lead to vision impairment and neurological deficits due to rapid spread.
Observation:
- A 55-year-old patient developed a subperiosteal orbital abscess from a decayed upper molar.
- Vision loss improved post-extraoral surgical drainage, but residual symptoms persisted for three years.
Findings:
- Untreated dental infections can result in hazardous orbital complications.
- Antibiotic efficacy may be overestimated; extraoral drainage is crucial for posterior orbital infections.
Implications:
- Thorough clinical evaluation, including oral cavity assessment and dental radiography, is essential for diagnosing orbital infections.
- Prompt and adequate treatment is critical to prevent the spread of odontogenic infections and mitigate severe sequelae.
