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Frontoethmoid sinus osteoma as a cause of subperiosteal orbital abscess

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Abstract

A 65-year-old woman presented with severe periorbital pain and swelling of the left eye, with complete ptosis, proptosis, and conjunctival chemosis. The eye was in a hypotropic position, and activity in the left superior rectus was inadequate. A firm, elastic, 2-cm mass was palpated near the superior orbital rim. Computed tomography revealed a subperiosteal abscess (SPA) at the superior portion of the orbit and a large frontoethmoidal sinus osteoma. After the SPA had been surgically drained and the osteoma completely removed, the patient recovered, with resolution of proptosis, ptosis, and motility limitations. Osteomas of the paranasal sinuses are usually asymptomatic and rarely cause SPA and orbital cellulitis. Therefore, osteoma cases must be closely followed to ensure that early diagnosis and treatment of SPA are successful in preventing severe visual loss and rescuing the patient’s vision.

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References

  1. Poon TL, Lee WY, Ho WS, Pang KY, Wong CK. Odontogenic subperiosteal abscess of orbit: a case report.J Clin Neurol. 2001; 8: 469–471.

    Article  CAS  Google Scholar 

  2. Mansour AM, Salti H, Uwaydat S, Dakroub R, Bashshour Z. Ethmoid sinus osteoma presenting as epiphora and orbital cellulitis: case report and literature review.Surv Ophthalmol. 1999; 43: 413–426.

    Article  PubMed  CAS  Google Scholar 

  3. Souliere CR Jr, Antoine GA, Martine MP, Blumberg AI, Isaacson G. Selective non-surgical management of subperiosteal abscess of the orbit: computerized tomography and clinical course as indication for surgical drainage.Int J Pediatr Otorhinolaryngol. 1990; 19: 109–119.

    Article  PubMed  Google Scholar 

  4. Noordzij JP, Harrison SE, Mason JC, et al. Pitfalls in the endoscopic drainage of subperiosteal abscesses secondary to sinusitis.Am J Rhinol. 2002; 16: 97–101.

    PubMed  Google Scholar 

  5. Rahbar R, Robson CD, Petersen RA, et al. Management of orbital subperiosteal abscess in children.Acta Otolaryngol Head Neck Surg. 2001; 127: 281–286.

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Ophthalmology, Osmangazi University Hospital, Meselik, Eskisehir, Turkey

    Afsun Sahin MD (Assistant Professor of Ophthalmology) & Nilgun Yildirim MD

  2. Department of Otorhinolaryngology, Osmangazi University Hospital, Meselik, Eskisehir, Turkey

    Emre Cingi MD

  3. Department of Neurosurgery Eskisehir, Osmangazi University Hospital, Meselik, Eskisehir, Turkey

    Metin A. Atasoy MD

Authors
  1. Afsun Sahin MD
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  2. Nilgun Yildirim MD
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  3. Emre Cingi MD
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  4. Metin A. Atasoy MD
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Corresponding author

Correspondence to Afsun Sahin MD.

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Sahin, A., Yildirim, N., Cingi, E. et al. Frontoethmoid sinus osteoma as a cause of subperiosteal orbital abscess. Adv Therapy 24, 571–574 (2007). https://doi.org/10.1007/BF02848779

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  • DOI: https://doi.org/10.1007/BF02848779

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