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Paranasal sinus infection causing orbital subperiosteal abscess: surgical management of this devastating entity

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Abstract

Background

Orbital infection is an uncommon devastating infection and is usually a complication of paranasal sinus infection. Without appropriate treatment, orbital infection may lead to serious complications, even death. Prompt treatment is mandatory to avoid visual loss or intracranial complications. The literature shows that initially, intravenous antibiotics should be administered, and after 48 h, if no improvement appears, the affected orbit and the sinuses must be surgically drained. The authors describe two cases of orbital cellulitis with a brief literature review.

Case report

The authors describe two cases of orbital abscess caused by paranasal sinus infection. In case 1, the patient presented a decreased visual acuity associated with ophthalmoplegia of the right eye. In case 2, the patient presented a decreased visual acuity. Thus, administration of intravenous antibiotic combined with surgical drainage was performed. After surgical procedure, eye movements were normalized in case 1, and in both patients, the visual acuity returned to normal parameters.

Discussion

The authors recommend early surgical drainage with parenteral antibiotic administration and careful postoperative observations by monitoring the signs and symptoms of the orbital complaint.

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Acknowledgments

This work should be attributed to Diagnosis & Surgery Department, Araraquara Dental School, São Paulo State University, Araraquara, São Paulo, Brazil.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Oral and Maxillofacial Surgery Department, UniLavras, Lavras Dental School, University Center of Lavras, Lavras, Minas Gerais, Brazil

    Willian Morais De Melo

  2. Surgery and Integrated Clinic Department, UNESP, Araçatuba Dental School, São Paulo State University, Araçatuba, São Paulo, Brazil

    Celso Koogi Sonoda

  3. Diagnosis and Surgery Department, UNESP, Araraquara Dental School, São Paulo State University, Araraquara, São Paulo, Brazil

    Eduardo Hochuli-Vieira, Marisa Aparecida Cabrini Gabrielli & Mario Francisco Real Gabrielli

  4. Avenida Feijó, 1309, Apto. 03, Centro, 14801-140, Araraquara, São Paulo, Brazil

    Willian Morais De Melo

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  1. Willian Morais De Melo
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  2. Celso Koogi Sonoda
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  3. Eduardo Hochuli-Vieira
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  4. Marisa Aparecida Cabrini Gabrielli
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  5. Mario Francisco Real Gabrielli
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Correspondence to Willian Morais De Melo.

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De Melo, W.M., Sonoda, C.K., Hochuli-Vieira, E. et al. Paranasal sinus infection causing orbital subperiosteal abscess: surgical management of this devastating entity. Oral Maxillofac Surg 17, 131–135 (2013). https://doi.org/10.1007/s10006-012-0343-8

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  • DOI: https://doi.org/10.1007/s10006-012-0343-8

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