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Updated: Jul 29, 2025

08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
274
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.
Summary
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.
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