Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

Orbital Abscess from Odontogenic Infection of Maxillary Molar: Case Report

상악 대구치 치성감염으로 인한 안와농양: 증례보고

  • Jin, Soo-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Moon, Seong-Yong (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Moon-Seob (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Park, Jin-Ju (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Jeong, Mi-Ae (Department of Dental Hygiene, Kangwon National University) ;
  • Yang, Seok-Jin (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Jung, Jong-Won (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Jeong-Sun (Department of Dental Hygiene, Gwangju Health College University)
  • 진수영 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김수관 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 문성용 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 오지수 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김문섭 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 박진주 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정미애 (강원대학교 치위생학과) ;
  • 양석진 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정종원 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김정선 (광주보건대학교 치위생과)
  • Received : 2011.06.22
  • Accepted : 2011.08.17
  • Published : 2011.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Orbital infection is typically caused by spread of inflammation from the paranasal sinuses. Less common causes can be skin infections, trauma, and hematogenous spread from other infections located elsewhere in the body. Odontogenic orbital infections account for 2~5% of all orbital infections, and occur as a result of periodontitis, odontogenic abscess from caries, tooth extraction, and oral surgery. Orbital infections can be divided into preseptal infection, orbital subperiosteal abscess, orbital abscess, and postorbital abscess. Symptoms which can be observed are swelling of the eyelids and erythema, orbital edema, displacement of the eyeball, exophthalmos, ophthalmoplegia, and even impairment of the optic nerve. Here we present the case of a patient who had an orbital abscess secondary to an abscess of the right maxillary third molar. Rapid recovery occurred following surgical treatment and antibiotic therapy. In addition a brief review of the literature is included.

Keywords

References

  1. Schramm VL Jr, Curtin HD, Kennerdell JS. Evaluation of orbital cellulitis and results of treatment. Laryngoscope 1982;92:732-8. https://doi.org/10.1288/00005537-198207000-00004
  2. O'Ryan F, Diloreto D, Barber HD, Bruckner R. Orbital infections: clinical and radiographic diagnosis and surgical treatment. J Oral Maxillofac Surg 1988;46:991-7. https://doi.org/10.1016/0278-2391(88)90336-9
  3. Blake FA, Siegert J, Wedl J, Gbara A, Schmelzle R. The acute orbit: etiology, diagnosis, and therapy. J Oral Maxillofac Surg 2006;64:87-93.
  4. Allan BP, Egbert MA, Myall RW. Orbital abscess of odontogenic origin. Case report and review of the literature. Int J Oral Maxillofac Surg 1991;20:268-70. https://doi.org/10.1016/S0901-5027(05)80150-X
  5. Gold RS, Sager E. Pansinusitis, orbital cellulitis, and blindness as sequelae of delayed treatment of dental abscess. J Oral Surg 1974;32:40-3.
  6. Vairaktaris E, Moschos MM, Vassiliou S, et al. Orbital cellulitis, orbital subperiosteal and intraorbital abscess: report of three cases and review of the literature. J Craniomaxillofac Surg 2009;37:132-6. https://doi.org/10.1016/j.jcms.2008.10.007
  7. Moloney JR, Badham NJ, McRae A. The acute orbit. Preseptal (periorbital) cellulitis, subperiosteal abscess and orbital cellulitis due to sinusitis. J Laryngol Otol Suppl 1987;12:1-18.
  8. Jabor MA, Amedee RG. Orbital complications of sinusitis. J La State Med Soc 1997;149:105-8.
  9. Ferguson MP, McNab AA. Current treatment and outcome in orbital cellulitis. Aust N Z J Ophthalmol 1999;27:375-9. https://doi.org/10.1046/j.1440-1606.1999.00242.x
  10. Thakar M, Thakar A. Odontogenic orbital cellulitis. Report of a case and considerations on route of spread. Acta Ophthalmol Scand 1995;73:470-1.
  11. Youssef OH, Stefanyszyn MA, Bilyk JR. Odontogenic orbital cellulitis. Ophthal Plast Reconstr Surg 2008;24:29-35. https://doi.org/10.1097/IOP.0b013e318160c950
  12. Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope 1970;80:1414-28. https://doi.org/10.1288/00005537-197009000-00007
  13. Osguthorpe JD, Hochman M. Inflammatory sinus diseases affecting the orbit. Otolaryngol Clin North Am 1993;26:657-71.
  14. Pavlovich P, Looi A, Rootman J. Septic thrombosis of the cavernous sinus: two different mechanisms. Orbit 2006;25:39-43. https://doi.org/10.1080/01676830500506077
  15. Dolman PJ, Glazer LC, Harris GJ, Beatty RL, Massaro BM. Mechanisms of visual loss in severe proptosis. Ophthal Plast Reconstr Surg 1991;7:256-60. https://doi.org/10.1097/00002341-199112000-00004
  16. Korner-Stiefbold U. Central retinal artery occlusion--etiology, clinical picture, therapeutic possibilities. Ther Umsch 2001;58:36-40. https://doi.org/10.1024/0040-5930.58.1.36
  17. Harris GJ. Subperiosteal abscess of the orbit. Age as a factor in the bacteriology and response to treatment. Ophthalmology 1994;101:585-95. https://doi.org/10.1016/S0161-6420(94)31297-8
  18. Schwenzer N, Ehrenfeld M. Infection of the orbits from the oromandibular surgery viewpoint. Fortschr Kiefer Gesichtschir 1996;41:38-43.