Sažetak sa skupa
Surgical treatment of superolateral orbital abscess in children: can we avoid an external incision?
Mislav Knežević
; KBC Sestre milosrdnice, Vinogradska cesta 29, 10000 Zagreb, Hrvatska
Marko Velimir Grgić
; KBC Sestre milosrdnice, Vinogradska 29, 10000 Zagreb, Hrvatska
Sažetak
Background: Orbital abscess is a well-known complication of acute sinusitis. In the pediatric population, the
most common pathologic pathway is through lamina papiracea, leading to a medially located subperiostal
abscess. Much less common is the propagation of infection from the frontal sinus resulting in superolaterally
located abscess. While there is a general agreement regarding the indication and timing of surgical intervention
in patients with orbital abscess, the review of literature does not yield the answer regarding the best approach.
Since superolaterally located pathology in the orbit is hardly reachable through endoscopic endonasal
approach, an external incision in the upper eyelid is the alternative. Patients and methods: We have analyzed
our patients treated surgically for orbital abscess in a 10-year period and searched the literature available in
PubMed. Results: Among the pediatric patients surgically treated for sinusogenic orbital abscess, we had five
cases of superolaterally located abscess. Two cases were treated with simultaneous endoscopic drainage of the
frontal and ethmoid sinus and external incision. Three cases have been treated only by endoscopic drainage of
the frontal and ethmoid sinus with the idea that the abscess would drain through its original pathway of
development. All patients had a complete resolution of abscess verified radiologically. Conclusion: In selected
cases, the indirect drainage of endoscopically non-reachable orbital abscess by draining the frontal sinus can
be adequate thus avoiding external incision.
Ključne riječi
Orbital; abscess; surgical; children
Hrčak ID:
336333
URI
Datum izdavanja:
10.11.2025.
Posjeta: 147 *