Subperiosteal Orbital Abscess: Case Report

Abstract

Subperiosteal orbital abscess is a well-described infectious process that affects the bones supporting the globe. It can induce rapid bone degradation and invasive extension.

A 45-year-old male with surgical history of submandibular gland excision presented in our department with left-sided periorbital edema and decreased ocular movements. He complained of reduced visual acuity and inflammation. CT scan of orbits and paranasal sinuses showed a filled left ethmoidal sinus and same density material, located in subperiosteal space of left orbit, displacing the globe inferiorly and anteriorly. Because of the fast spread of the disease, the patient was managed by prompt combination of intravenous antibiotic therapy associated to surgical drainage.

In this manuscript, we try to describe this case in order to optimize the therapy results and reduce alarming complications of the disease.