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Endoscopic drainage of a superiorly based subperiostal orbital abscess.
The Laryngoscope (2008)
  • R Roithmann
  • B Uren
  • J Pater
  • Peter-John Wormald
Introduction: Subperiosteal orbital abscess (SPOA) is an uncommon complication of acute sinusitis and is seen most commonly in toddlers and teenagers. Many cases can be successfully treated with intravenous antibiotics, 1 but if the patient’s condition does not improve rapidly, or if he or she initially presents with reduced visual acuity, surgical drainage is indicated. In the past, most patients with SPOA have been treated by an external approach via a Lynch-Howarth or transcaruncular incision. Recently, some centers have used transnasal endoscopic approached to drain the abscess, 2 but this technique has been limited to treating those abscesses that are medially, directly adjacent to the lamina papyracea. Most centers treating SPOAs located superior to the lamina papyracea do so via an external approach. The purpose of this article is to report our initial experience with treating abscesses that are located above the frontoethmoidal suture line, confined to the superior or superomedial compartments of the orbit (Fig.1), by using a fully endoscopic transnasal approach.
  • acute sinusitis,
  • Subperiosteal orbital abscess,
  • SPOA,
  • transnasal endoscopy
Publication Date
Citation Information
R Roithmann, B Uren, J Pater and Peter-John Wormald. "Endoscopic drainage of a superiorly based subperiostal orbital abscess." The Laryngoscope Vol. 118 (2008)
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