Surgical drainage of pediatric gas-containing orbital subperiosteal abscess

被引：0

作者：

Iwanami, Tomoko ^{[1
]}

Kagoya, Ryoji ^{[1
,2
,4
]}

Isozaki, Keiichiro ^{[3
]}

Ito, Ken ^{[1
]}

机构：

[1] Teikyo Univ, Fac Med, Dept Otolaryngol, Tokyo, Japan

[2] Univ Tokyo, Grad Sch Med, Dept Otorhinolaryngol Head & Neck Surg, Tokyo, Japan

[3] Teikyo Univ, Fac Med, Dept Pediat, Tokyo, Japan

[4] Teikyo Univ, Fac Med, Dept Otolaryngol, 2-11-1,Kaga,Itabashi Ku, Tokyo 1738605, Japan

来源：

ACTA OTO-LARYNGOLOGICA CASE REPORTS | 2023年 / 8卷 / 01期

关键词：

Rhinosinusitis; subperiosteal abscess; gas; surgical drainage; bone regeneration; ACUTE SINUSITIS; MANAGEMENT; RHINOSINUSITIS; COMPLICATIONS; CELLULITIS;

D O I：

10.1080/23772484.2023.2169148

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

An orbital subperiosteal abscess (SPA) is a serious complication associated with acute rhinosinusitis (ARS). However, no established guidelines are available for the management of this condition in pediatric patients. We report a case of pediatric gas-containing ARS-induced SPA treated with surgical drainage. A 5-year-old boy was referred to our hospital for treatment of ARS-induced orbital complications. A computerized tomography (CT) revealed opacification of the sinuses and fluid collection with gas in the subperiosteal space of the orbital medial wall. Based on these findings, the patient was diagnosed with ARS-induced SPA and received an antibiotic therapy and thereafter underwent surgical drainage. Sinus CT performed at the 6-month follow-up confirmed regeneration of the orbital medial wall that was surgically resected. Currently, there is no report regarding as optimal surgery of pediatric SPA and postoperative condition. This is the first report of pediatric SPA in which regeneration of resected orbital wall was confirmed.

引用

页码：13 / 17

页数：5

共 19 条

[1] Pediatric Rhinosinusitis [J].

Badr D.T. ;

Gaffin J.M. ;

Phipatanakul W. .

Current Treatment Options in Allergy, 2016, 3 (3) :268-281

[2] Long-term outcome of facial growth after functional encloscopic sinus surgery [J].

Bothwell, MR ;

Piccirillo, JF ;

Lusk, RP ;

Ridenour, BD .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2002, 126 (06) :628-634

[3] The role of anaerobic bacteria in sinusitis [J].

Brook, I .

ANAEROBE, 2006, 12 (01) :5-12

[4]

De A, 2003, Indian J Med Microbiol, V21, P202

[5]

Devrim I, 2008, TURKISH J PEDIATR, V50, P214

[6] Streptococcus viridans has a leading role in rhinosinusitis complications [J].

Hwang, Siew Yoong ;

Tan, Kun Kiaang .

ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 2007, 116 (05) :381-385

[7] Microbiome and Culture Based Analysis of Chronic Rhinosinusitis Compared to Healthy Sinus Mucosa [J].

Koeller, Kerstin ;

Herlemann, Daniel P. R. ;

Schuldt, Tobias ;

Ovari, Attila ;

Guder, Ellen ;

Podbielski, Andreas ;

Kreikemeyer, Bernd ;

Olzowy, Bernhard .

FRONTIERS IN MICROBIOLOGY, 2018, 9

[8]

Mekhitarian Neto Levon, 2007, Braz J Otorhinolaryngol, V73, P75

[9] Management of Large-Volume Subperiosteal Abscesses of the Orbit: Medical vs Surgical Outcomes [J].

Nation, Javan ;

Lopez, Alexis ;

Grover, Nancy ;

Carvalho, Daniela ;

Vinocur, Daniel ;

Jiang, Wen .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2017, 157 (05) :891-897

[10] Medical and surgical management of subperiosteal orbital abscess secondary to acute sinusitis in children [J].

Oxford, Lance E. ;

McClay, John .

INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2006, 70 (11) :1853-1861

← 1 2 →