Surgical drainage of pediatric gas-containing orbital subperiosteal abscess

Abstract

AbstractAn 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.

Keywords

• Rhinosinusitis
• subperiosteal abscess
• gas
• surgical drainage
• bone regeneration