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A Rare Case Report of an Acute Orbit

Satish Chandra Tripuraneni1, Nikitha Reddy Suravarapu1, P S N Murthy1

  • 1Department of ENT, Dr.Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation, Gannavaram, India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|May 19, 2023
PubMed

Insights

Orbital subperiosteal abscesses, a complication of acute rhinosinusitis, are rare due to antibiotics. This case report details a successful endoscopic sinus surgery treatment in a teen with vision loss.

Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Infectious Diseases

Background:

  • Orbital complications of rhinosinusitis were common before antibiotics.
  • Antibiotic use has reduced the incidence of these orbital complications.
  • Subperiosteal abscess is a frequent intraorbital complication of acute rhinosinusitis.

Purpose of the Study:

  • To describe the presentation and management of orbital subperiosteal abscess secondary to acute rhinosinusitis.
  • To highlight the successful treatment of a pediatric case using endoscopic sinus surgery.

Main Methods:

  • Case report of a 14-year-old female patient.
  • Diagnosis based on diminished vision and ophthalmoplegia.
  • Treatment via endoscopic sinus surgery.

Main Results:

  • Successful surgical intervention.
  • Complete recovery of vision and ocular movements post-operatively.
  • Demonstrates the efficacy of endoscopic sinus surgery in managing this condition.

Conclusions:

  • Orbital subperiosteal abscess is a serious complication of acute rhinosinusitis.
  • Endoscopic sinus surgery is an effective treatment modality.
  • Early diagnosis and prompt surgical intervention are crucial for favorable outcomes.
Keywords:
Endoscopic managementOrbital complicationsRhinosinusitisSubperiosteal abscess

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