A Rare Case Report of an Acute Orbit

Indian J Otolaryngol Head Neck Surg. 2023 Apr;75(Suppl 1):923-927. doi: 10.1007/s12070-023-03484-z. Epub 2023 Jan 29.

Abstract

Orbital complications of rhino-sinusitis was one of the most common extracranial complications in the pre-antibiotic era. However, the incidence of intra-orbital complications secondary to rhinosinusitis has significantly decreased in recent times with the advertent usage of broad-spectrum antibiotics. The subperiosteal abscess is one of the most common intraorbital complications of acute rhinosinusitis. This is a case report of a 14-year-old girl who presented with diminished vision and ophthalmoplegia which on evaluation was diagnosed to be a case of a subperiosteal abscess. The patient was treated by endoscopic sinus surgery and with complete post-operative recovery to normal vision and ocular movements. This report aims at describing the presentation and management of the condition.

Keywords: Endoscopic management; Orbital complications; Rhinosinusitis; Subperiosteal abscess.