Osteomyelitis of orbital bones

Area of Science:

• Ophthalmology
• Oral and Maxillofacial Surgery
• Infectious Diseases

Background:

• Osteomyelitis of the facial bones, particularly those surrounding the orbit, presents complex clinical challenges.
• Accurate diagnosis and effective management are crucial to prevent severe complications and functional impairment.

Purpose of the Study:

• To describe the clinical, radiological, and microbiological features of osteomyelitis affecting the orbital parts of the frontal, maxillary, and zygomatic bones.
• To evaluate the outcomes of surgical and antibiotic management for these cases.
• To discuss challenges and potential solutions for correcting deformities resulting from cicatrization.

Main Methods:

• Retrospective case series analysis of seven patients with orbital bone osteomyelitis.
• Review of clinical presentations, radiological findings (e.g., CT scans), and microbiological data.
• Description of treatment protocols including antibiotics, surgical debridement (curettage), and sequestrectomy.

Main Results:

• Seven cases of osteomyelitis involving the frontal, maxillary, and zygomatic bones were analyzed.
• Treatment comprised a combination of antibiotics, curettage, and sequestrectomy.
• Challenges in correcting post-surgical deformities due to scarring were noted.

Conclusions:

• Osteomyelitis of the orbital facial bones requires a multi-faceted treatment approach.
• Surgical intervention combined with antibiotics is essential for managing infection and bone necrosis.
• Secondary reconstructive procedures, such as skin grafting, may be necessary and successful for correcting deformities.