Pediatric Sinusitis and Subperiosteal Orbital Abscess Formation: Diagnosis and Treatment

@article{Arjmand1993PediatricSA,
  title={Pediatric Sinusitis and Subperiosteal Orbital Abscess Formation: Diagnosis and Treatment},
  author={Ellis M. Arjmand and Rodney P. Lusk and Harlan R. Muntz},
  journal={Otolaryngology–Head and Neck Surgery},
  year={1993},
  volume={109},
  pages={886 - 894}
}
Twenty-two children with subperiosteal orbital abscesses were treated at St. Louis Children's Hospital between 1983 and 1992. Eighteen patients were otherwise in good health; four patients had cystic fibrosis, mucoceles, or were immunocompromised. All patients were treated with intravenous antibiotics and abscess drainage. CT scans were obtained preoperatively in each case. Ten patients were treated with endoscopic ethmoidectomy and abscess drainage, and 11 were treated with external… 

Figures and Tables from this paper

Medical and surgical management of subperiosteal orbital abscess secondary to acute sinusitis in children.

Orbital Complications of Acute Sinusitis in Children

Evaluating the clinical presentation, diagnosis, management and outcome of orbital complications of acute sinusitis in children treated at the authors' hospital over a 10-year period found computerized tomography is very useful for staging orbital inflammation and guiding surgical intervention.

Endoscopic sinus surgery for orbital subperiosteal abscess secondary to sinusitis.

Three patients with orbital SPA secondary to sinusitis treated successfully by Functional Endoscopic Sinus Surgery (FESS) are presented in this case series, with the advantages of FESS being the avoidance of external ethmoidectomy and its external facial scar, an early drainage of the affected sinuses, SPA, and the eradication of the disease from the fronto-ethmoidal region.

Pitfalls in the Endoscopic Drainage of Subperiosteal Orbital Abscesses Secondary to Sinusitis

Endoscopic drainage of medial SPOAs appears to be safe and effective, however, several risk factors must be recognized when present and management of these risk factors is discussed.

Management of pediatric orbital cellulitis in patients with radiographic findings of subperiosteal abscess

Pediatric Medial Subperiosteal Orbital Abscess: Medical Management Where Possible

A subset of patients with SPOAs can be managed medically and tend to be younger and present with minimal restriction of ocular motility, which is consistent with an SPOA on computed tomography imaging.

Approaches to subperiosteal orbital abscesses

The purpose of this paper is to evaluate the epidemiology, clinical features, management and complications of subperiosteal orbital abscesses (SPOA)—a serious complication of rhinosinusitis.

Intracranial Abscess as a Complication of Subperiosteal Abscess of the Orbit

Although rare, intracranial abscess is a life-threatening complication of orbital abscess that requires aggressive intervention by a multidisciplinary team.
...

References

SHOWING 1-10 OF 25 REFERENCES

Medical management of orbital subperiosteal abscess in children.

It is concluded that orbital subperiosteal orbital abscess, like some other abscesses located elsewhere, may be amenable to non-surgical treatment, or that these patients may have had a phlegmon rather than an abscess and the currently accepted CT criteria for diagnosis may require modification.

Sinusitis and the acute orbit in children

This paper documents the experience at the Royal Liverpool Childrens Hospital, Alder Hey, from 1973 to 1989 of orbital sepsis, which was always unilateral with a preference for the left side.

The role of C.T. scans in managing the orbital complications of ethmoiditis.

The acute orbit. Preseptal (periorbital) cellulitis, subperiosteal abscess and orbital cellulitis due to sinusitis.

A classification of the stages of the inflammatory processes seen in the acute orbit is given and the management of 34 cases due to sinusitis is discussed and the further complications that may occur are also mentioned.

Orbital Infection and Sinusitis

The statement that there is no indication to explore the relevant sinus in the acute phase is totally disagreed with the statement that a CT scan is a reliable method of investigation for many reasons.

Orbital infection and sinusitis

The statement that there is no indication to explore the relevant sinus in the acute phase is totally disagreed with the statement that a CT scan is a reliable method of investigation for many reasons.

Blindness Resulting from Orbital Complications of Sinusitis

  • B. S. PattS. Manning
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 1991
Four patients admitted to Parkland Memorial Hospital from 1978 to 1988 with orbital complications resulting from sinusitis had permanent blindness, and the presence of an abscess, which was ultimately found at surgical exploration, was not diagnosed by CT in any of these four patients.

Orbital Cellulitis with Periosteal Elevation

It is suggested that periosteal elevation seen in patients with orbital cellulitis should represent a relative rather than an absolute indication for drainage surgery, and three cases in which surgical drainage yielded clear fluid or granulation tissue rather than pus are presented.

Subperiosteal abscess of the orbit.

  • G. Harris
  • Medicine
    Archives of ophthalmology
  • 1983
Computed tomography and echography suggest that elevated orbital pressure is the primary, and potentially reversible, mechanism of visual impairment produced by SPA.