Orbital subperiosteal abscess and blindness complicating a minimally displaced zygomatic complex fracture.
A case of orbital subperiosteal abscess (SPA) complicating a minimally displaced zygomatic complex (ZMC) fracture is reported and the aetiology and management of this potentially life-threatening condition is discussed. The value of CT scanning in staging orbital infection and determining the site of the abscess and involved paranasal sinuses is emphasised. The correct interpretation of a lateral skull radiograph with the patient brow up may have lead to earlier diagnosis and treatment.
Gilhooly
M G
MG
Department of Oral and Maxillofacial Surgery, Glan Clwyd Hospital, Bodelwyddan, Clwyd.
Falconer
D T
DT
Wood
G A
GA
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology*; D000328:Adult; D001766:Blindness / Q000209:etiology*; D015521:Ethmoid Sinusitis / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D004204:Joint Dislocations / Q000150:complications; D008297:Male; D015523:Maxillary Sinusitis / Q000150:complications / Q000000981:diagnostic imaging; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D010521:Periosteum; D014057:Tomography, X-Ray Computed; D015051:Zygomatic Fractures / Q000150:complications* / Q000000981:diagnostic imaging