Odontogenic subperiosteal abscess of orbit: a case report.
Subperiosteal abscess of orbit is an uncommon but serious complication of orbital infection. We report a case of a 78 year old gentleman who presented with bilateral periorbital oedema and proptosis. Computerised tomography of orbit revealed bilateral dilated superior ophthalmic veins. Bilateral carotid-cavernous fistula was initially suspected. Serial imaging showed an increasing bilateral subperiosteal lesion of the orbit. Fine needle aspiration confirmed subperiosteal abscess. A high level of awareness is necessary in diagnosing subperiosteal abscess.
Poon
T L
TL
Department of Neurosurgery, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chi Wan, Hong Kong.
Lee
W Y
WY
Ho
W S
WS
Pang
K Y
KY
Wong
C K
CK
D000038:Abscess / Q000473:pathology*; D000368:Aged; D005491:Focal Infection, Dental / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009916:Orbital Diseases / Q000473:pathology*; D012852:Sinusitis / Q000473:pathology*; D014057:Tomography, X-Ray Computed