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Subperiosteal Abscess of the Orbit

Subperiosteal Abscess of the Orbit Abstract • Seven cases of subperiosteal abscess (SPA) of the orbit are reported. Anatomic relationships shared by the orbits, paranasal sinuses, and facial venous system explain the rapid development of SPA after periorbital infection. Computed tomography and echography allow distinction between SPA and other stages of orbital inflammation that are often indiscriminately grouped under the rubric of orbital cellulitis. These techniques suggest that elevated orbital pressure is the primary, and potentially reversible, mechanism of visual impairment produced by SPA. Difficulty in accurately determining the responsible pathogens, relative isolation of the subperiosteal space with regard to antibiotic penetration, and risk of precipitous visual loss require prompt surgical drainage in most cases. References 1. Batson OV: Relationship of the eye to the paranasal sinuses . Arch Ophthalmol ,1936;16:322-323.Crossref 2. Williamson-Noble FA: Diseases of the orbit and its contents, secondary to pathological conditions of the nose and paranasal sinuses . Ann R Coll Surg Engl 1954;15:46-64. 3. Chandler JR, Langenbrunner DJ, Stevens ER: The pathogenesis of orbital complications in acute sinusitis . Laryngoscope 1970;80:1414-1428.Crossref 4. Gans H, Sekula J, Wlodyka J: Treatment of acute orbital complications . Arch Otolaryngol 1974;100:329-332.Crossref 5. Appalanarasayya K, Murthy ASR, Viswanath CK, et al: Proptosis in a newborn due to orbital infection: Case report . Int Surg 1971;55:149-150. 6. Sty JR, Babbitt DP, Aronow CB: Diagnosis of an orbital abscess with ultrasonography . Wis Med J 1980;79:33-34. 7. Jakobiec FA, Jones IS: Orbital inflammations , in Jones IS, Jakobiec FA (eds): Diseases of the Orbit . Hagerstown, Md, Harper & Row Publishers Inc, 1979, pp 237-239. 8. Haynes RE, Cramblett HG: Acute ethmoiditis: Its relationship to orbital cellulitis . Am J Dis Child 1967;114:261-267.Crossref 9. English GM: Sinusitis , in English GM (ed): Otolaryngology . Hagerstown, Md, Harper & Row Publishers Inc, 1980, vol 2, chap 21. 10. Clairmont AA, Per-Lee JH: Complications of acute frontal sinusitis . Am Fam Physician 1975;11:80-84. 11. Robie G, O'Neal R, Kelsey DS: Periorbital cellulitis . J Pediatr Ophthalmol Strabismus 1977;14:354-363. 12. Gellady AM, Shulman ST, Ayoub EM: Periorbital and orbital cellulitis in children . Pediatrics 1978;61:272-277. 13. Morgan PR, Morrison WV: Complications of frontal and ethmoid sinusitis . Laryngoscope 1980;90:661-666.Crossref 14. Harley MJ, Guerier TH: Orbital cellulitis related to an influenza A virus epidemic . Br Med J 1978;1:13-14.Crossref 15. Krohel GB, Krauss HR, Christiansen RE, et al: Orbital abscess . Arch Ophthalmol 1980;98:274-276.Crossref 16. Harris GJ, Kay MC, Nilles JJ: Orbital hematoma secondary to frontal sinusitis . Ophthalmology 1978;85:1229-1234.Crossref 17. Jarrett WH II, Gutman FA: Ocular complications of infection in the paranasal sinuses . Arch Ophthalmol 1969;81:683-688.Crossref 18. Zimmerman RA, Bilaniuk LT: CT of orbital infection and its cerebral complications . AJR 1980;134:45-50.Crossref 19. Gamble RC: Acute inflammations of the orbit in children . Arch Ophthalmol 1933;10:483-497.Crossref 20. Amies DR: Orbital cellulitis . J Laryngol Otol 1974;88:559-564.Crossref 21. Jones DB: Microbial preseptal and orbital cellulitis , in Duane TD (ed): Clinical Ophthalmology . Hagerstown, Md, Harper & Row Publishers Inc, 1981, vol 4, chap 25, p 5. 22. El Shewy TM: Acute infarction of the choroid and retina: A complication of orbital cellulitis . Br J Ophthalmol 1973;57:204-205.Crossref 23. Gillum WN, Anderson RL: Reversible visual loss in subperiosteal hematoma of the orbit . Ophthalmic Surg 1981;12:203-209. 24. Trevor-Roper PD: Diseases of the orbit . Int Ophthalmol Clin 1974;14:323-346. 25. Goldberg F, Berne AS, Oski FA: Differentiation of orbital cellulitis from preseptal cellulitis by computed tomography . Pediatrics 1978;62:1000-1005. 26. Harris GJ, Syvertsen A: Multiple projection computed tomography in orbital disorders . Ann Ophthalmol 1981;13:183-188. 27. Quick CA, Payne E: Complicated acute sinusitis . Laryngoscope 1972;82:1248-1263.Crossref 28. Brook I: Bacteriologic features of chronic sinusitis in children . JAMA 1981;246:967-969.Crossref 29. Hamory BH, Sande MA, Sydnor A Jr, et al: Etiology and antimicrobial therapy of acute maxillary sinusitis . J Infect Dis 1979;139:197-202.Crossref 30. Wald ER, Milmoe GJ, Bowen A, et al: Acute maxillary sinusitis in children . N Engl J Med 1981;304:749-754.Crossref 31. Clark GM: Acute frontal and ethmoid sinusitis with subperiosteal abscess . Aust NZ J Surg 1969;38:347-348. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Subperiosteal Abscess of the Orbit

Harris, Gerald J.
Archives of Ophthalmology , Volume 101 (5) – May 1, 1983
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References (32)

Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1983.01040010751010
Publisher site
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Abstract

Abstract • Seven cases of subperiosteal abscess (SPA) of the orbit are reported. Anatomic relationships shared by the orbits, paranasal sinuses, and facial venous system explain the rapid development of SPA after periorbital infection. Computed tomography and echography allow distinction between SPA and other stages of orbital inflammation that are often indiscriminately grouped under the rubric of orbital cellulitis. These techniques suggest that elevated orbital pressure is the primary, and potentially reversible, mechanism of visual impairment produced by SPA. Difficulty in accurately determining the responsible pathogens, relative isolation of the subperiosteal space with regard to antibiotic penetration, and risk of precipitous visual loss require prompt surgical drainage in most cases. References 1. Batson OV: Relationship of the eye to the paranasal sinuses . Arch Ophthalmol ,1936;16:322-323.Crossref 2. Williamson-Noble FA: Diseases of the orbit and its contents, secondary to pathological conditions of the nose and paranasal sinuses . Ann R Coll Surg Engl 1954;15:46-64. 3. Chandler JR, Langenbrunner DJ, Stevens ER: The pathogenesis of orbital complications in acute sinusitis . Laryngoscope 1970;80:1414-1428.Crossref 4. Gans H, Sekula J, Wlodyka J: Treatment of acute orbital complications . Arch Otolaryngol 1974;100:329-332.Crossref 5. Appalanarasayya K, Murthy ASR, Viswanath CK, et al: Proptosis in a newborn due to orbital infection: Case report . Int Surg 1971;55:149-150. 6. Sty JR, Babbitt DP, Aronow CB: Diagnosis of an orbital abscess with ultrasonography . Wis Med J 1980;79:33-34. 7. Jakobiec FA, Jones IS: Orbital inflammations , in Jones IS, Jakobiec FA (eds): Diseases of the Orbit . Hagerstown, Md, Harper & Row Publishers Inc, 1979, pp 237-239. 8. Haynes RE, Cramblett HG: Acute ethmoiditis: Its relationship to orbital cellulitis . Am J Dis Child 1967;114:261-267.Crossref 9. English GM: Sinusitis , in English GM (ed): Otolaryngology . Hagerstown, Md, Harper & Row Publishers Inc, 1980, vol 2, chap 21. 10. Clairmont AA, Per-Lee JH: Complications of acute frontal sinusitis . Am Fam Physician 1975;11:80-84. 11. Robie G, O'Neal R, Kelsey DS: Periorbital cellulitis . J Pediatr Ophthalmol Strabismus 1977;14:354-363. 12. Gellady AM, Shulman ST, Ayoub EM: Periorbital and orbital cellulitis in children . Pediatrics 1978;61:272-277. 13. Morgan PR, Morrison WV: Complications of frontal and ethmoid sinusitis . Laryngoscope 1980;90:661-666.Crossref 14. Harley MJ, Guerier TH: Orbital cellulitis related to an influenza A virus epidemic . Br Med J 1978;1:13-14.Crossref 15. Krohel GB, Krauss HR, Christiansen RE, et al: Orbital abscess . Arch Ophthalmol 1980;98:274-276.Crossref 16. Harris GJ, Kay MC, Nilles JJ: Orbital hematoma secondary to frontal sinusitis . Ophthalmology 1978;85:1229-1234.Crossref 17. Jarrett WH II, Gutman FA: Ocular complications of infection in the paranasal sinuses . Arch Ophthalmol 1969;81:683-688.Crossref 18. Zimmerman RA, Bilaniuk LT: CT of orbital infection and its cerebral complications . AJR 1980;134:45-50.Crossref 19. Gamble RC: Acute inflammations of the orbit in children . Arch Ophthalmol 1933;10:483-497.Crossref 20. Amies DR: Orbital cellulitis . J Laryngol Otol 1974;88:559-564.Crossref 21. Jones DB: Microbial preseptal and orbital cellulitis , in Duane TD (ed): Clinical Ophthalmology . Hagerstown, Md, Harper & Row Publishers Inc, 1981, vol 4, chap 25, p 5. 22. El Shewy TM: Acute infarction of the choroid and retina: A complication of orbital cellulitis . Br J Ophthalmol 1973;57:204-205.Crossref 23. Gillum WN, Anderson RL: Reversible visual loss in subperiosteal hematoma of the orbit . Ophthalmic Surg 1981;12:203-209. 24. Trevor-Roper PD: Diseases of the orbit . Int Ophthalmol Clin 1974;14:323-346. 25. Goldberg F, Berne AS, Oski FA: Differentiation of orbital cellulitis from preseptal cellulitis by computed tomography . Pediatrics 1978;62:1000-1005. 26. Harris GJ, Syvertsen A: Multiple projection computed tomography in orbital disorders . Ann Ophthalmol 1981;13:183-188. 27. Quick CA, Payne E: Complicated acute sinusitis . Laryngoscope 1972;82:1248-1263.Crossref 28. Brook I: Bacteriologic features of chronic sinusitis in children . JAMA 1981;246:967-969.Crossref 29. Hamory BH, Sande MA, Sydnor A Jr, et al: Etiology and antimicrobial therapy of acute maxillary sinusitis . J Infect Dis 1979;139:197-202.Crossref 30. Wald ER, Milmoe GJ, Bowen A, et al: Acute maxillary sinusitis in children . N Engl J Med 1981;304:749-754.Crossref 31. Clark GM: Acute frontal and ethmoid sinusitis with subperiosteal abscess . Aust NZ J Surg 1969;38:347-348.

Journal

Archives of Ophthalmology – American Medical Association

Published: May 1, 1983

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