title: Minimal endoscopic approach to subperiosteal orbital abscess.
abstract: OBJECTIVE
  To limit endoscopic abscess drainage to the opening of the ethmoid cells involved, adjacent to the subperiosteal orbital abscess.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Twenty children with subperiosteal orbital abscess complicating acute sinusitis.
  
  
  METHODS
  Endoscopic opening of the medial wall of the bulla ethmoidalis and of the lamina papyracea.
  
  
  RESULTS
  The limited endoscopic approach allowed subperiosteal orbital abscess drainage in all patients with positive clinical outcomes. Extensive ethmoidectomy was not necessary to achieve drainage.
  
  
  CONCLUSIONS
  Endoscopic subperiosteal orbital abscess drainage does not require complete ethmoidectomy as was previously performed and can be limited to the opening of the bulla ethmoidalis and the lamina papyracea through the bulla ethmoidalis.
authors.affiliation: Département d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale, Hôpital E. Herriot, Lyon, France.
authors.forename: P
authors.initials: P
authors.lastname: Froehlich
authors.forename: S M
authors.initials: SM
authors.lastname: Pransky
authors.forename: P
authors.initials: P
authors.lastname: Fontaine
authors.forename: G
authors.initials: G
authors.lastname: Stearns
authors.forename: A
authors.initials: A
authors.lastname: Morgon
mesh_terms: D000038:Abscess / Q000209:etiology / Q000601:surgery*; D002675:Child, Preschool; D004322:Drainage / Q000379:methods; D004724:Endoscopy / Q000379:methods; D005004:Ethmoid Bone / Q000601:surgery; D015521:Ethmoid Sinusitis / Q000150:complications*; D006801:Humans; D009916:Orbital Diseases / Q000209:etiology / Q000601:surgery*; D010522:Periostitis / Q000209:etiology / Q000601:surgery*; D011446:Prospective Studies