Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Retrobulbulbar Abscess Due to Acute Odontogenic Sinusitis: a Case Report

급성 치성상악동염으로 인한 안구후농양: 증례보고

  • Jo, Hyun-Joo (Department of Oral and Maxillofacial Surgery, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Jeong, Yong-Seon (Department of Oral and Maxillofacial Surgery, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Chae, Byung-Moo (Department of Oral and Maxillofacial Surgery, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Jung, Tae-Young (Department of Oral and Maxillofacial Surgery, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Park, Sang-Jun (Department of Oral and Maxillofacial Surgery, Busan Paik Hospital, College of Medicine, Inje University)
  • 조현주 (인제대학교 의과대학 부산백병원 구강악안면외과학교실) ;
  • 정용선 (인제대학교 의과대학 부산백병원 구강악안면외과학교실) ;
  • 채병무 (인제대학교 의과대학 부산백병원 구강악안면외과학교실) ;
  • 정태영 (인제대학교 의과대학 부산백병원 구강악안면외과학교실) ;
  • 박상준 (인제대학교 의과대학 부산백병원 구강악안면외과학교실)
  • Received : 2010.08.16
  • Accepted : 2010.10.08
  • Published : 2010.11.30
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Abstract

Retrobulbar abscess is a rare, but severe complication of paranasal sinusitis. The clinical presentations are eyelid swelling, erythema, proptosis, conjunctival chemosis, restricted ocular movement, and decreased visual acuity. Diagnostic methods available for evaluating retrobulbar abscess include sinus X-ray, ultrasonography, computed tomography (CT), and bacterial culture. For the treatment of retrobulbar abscess, immediate surgical drainage and systemic antibiotic therapy are needed. Proper diagnosis and treatments are necessary for preventing visual loss, cavernous sinus thrombosis, subdural abscess, and other lifethreatening complications. A patient, a 30-year-old man, was admitted to our hospital because of progressive eyelid swelling, erythema, ptosis and decreased visual acuity on the right eye after endodontic treatment. The sinusitis occurred secondary to the infection from an upper molar tooth. The spread of the infection led to the orbit via ethmoidal sinus and posterior orbital wall. Immediate surgical intervention was performed and systemic antibiotics was administrated. The symptoms and signs are improved after treatments, so we present our case with a brief review of the literature.

Keywords

References

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