Orbital abscess after facial trauma.
This paper reports a rare case of acute severe orbital abscess manifested 2 days after a facial trauma without bone fracture in a 20-year-old Afro-American female. The symptoms worsened within the 24 h prior to hospital admission resulting in visual disturbances such as diplopia and photophobia. The clinical findings at the first consultation included fever, periorbital swelling and redness, ptosis, proptosis and limitation of ocular movements upwards, downwards, to the right and to the left. Computed tomography scan showed proptosis with considerable soft tissue swelling on the left side and no fracture was evidenced in the facial skeleton, including the zygomatic-orbital complex. After hospital admission and antibiotic therapy intravenously the patient was conducted to the operation room and submitted to incision and drainage under general anesthesia. The orbit was approached thorough both eyelids and the maxillary sinus was reached only through the Caldwell-Luc approach. The postoperative period was uneventful and the rapid improvement of symptoms was remarkable. Visual acuity and ocular motility returned to the normal ranges within 2 days after the surgical intervention. After 12 postoperative days, the patient presented with significative improvement in the ptosis and proptosis, and acceptable scars.
Serra
Elis Cristina Sousa
EC
Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto Dental School, University of São Paulo, Ribeirão Preto, SP, Brazil.
Sverzut
Cassio Edvard
CE
Trivellato
Alexandre Elias
AE
D000038:Abscess / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D004638:Emergency Treatment; D005151:Facial Injuries / Q000150:complications*; D005260:Female; D006801:Humans; D015523:Maxillary Sinusitis / Q000150:complications / Q000188:drug therapy; D009916:Orbital Diseases / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult
D000900:Anti-Bacterial Agents