Orbital subperiosteal hematoma associated with sinus infection

Rhinology. 2010 Mar;48(1):117-22. doi: 10.4193/Rhin09.008.

Abstract

Objectives: There are few reports of orbital subperiosteal hematomas as a result of sinusitis complications. The present study reports on 2 such cases and presents a literature review regarding this condition.

Methods: We report 2 cases of orbital subperiosteal hematoma, and reviewed previous literature reports.

Results: Including the 2 current patients, 11 cases of orbital subperiosteal hematoma involving sinusitis appear in the literature. The current cases involved 2 older females presenting with proptosis. One had frontal sinusitis and the other a postoperative frontoethmoid mucocele. Both patients underwent a superior orbitotomy and sinus surgery, which resolved the orbital symptoms.

Conclusion: Orbital subperiosteal hematomas can develop associated with sinus infection. Such a condition should be treated as a sinusitis complication and the associated sinus infection must be treated concomitantly.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Exophthalmos / epidemiology
  • Female
  • Frontal Sinusitis / epidemiology*
  • Hematoma / epidemiology*
  • Humans
  • Magnetic Resonance Imaging
  • Middle Aged
  • Mucocele / epidemiology*
  • Orbital Diseases / epidemiology*
  • Paranasal Sinus Diseases / epidemiology*
  • Periosteum