Medical and Surgical Treatment in Cases of Subperiosteal Orbital Abscess: Retrospective Descriptive Study

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Savur F., Uran M.

Türkiye Klinikleri Oftalmoloji Dergisi, cilt.33, sa.1, ss.36-45, 2024 (TRDizin)

Özet

Objective: We aimed to characterize the demographic characteristics of patients presenting with subperiosteal orbital abscess (SPOA) and determine their outcomes according to the type of medi- cal and/or surgical interventions applied.Material and Methods: The data were retrospectively examined for all patient applications who ap- plied to the oculoplastic surgery clinic due to SPOA and were treated as inpatients from November 2021 to October 2023. Demographic in- formation of the patients, radiographic and clinical evidence of SPOA, surgical interventions performed, presence of concomitant sinusitis and length of hospital stay were recorded. Results: The average age of 19 SPOA patients included in the study was 18.42±20.21 years. Twelve (63.2%) of the patients with SPOA had pansinusitis. The location of the SPOA was medial in 9 patients (47.4%), superolateral in 5 patients (21.1%), and superomedial in 4 patients (21.1%). In statistical com- parison, the medial SPOA rate was significantly higher in the group under 10 years of age than in the group over 10 years of age (p=0.005). Endoscopic sinus surgery (ESS) was applied to 15(78.9%) of the pa- tients and medical treatment was applied to 4 (21.1%). External SPOA drainage was performed simultaneously with ESS in 6 (31.6%) patients with superolaterally located SPOA. Intracranial abscess developed in 2 (22.2%) of the patients with SPOA with a superior component. Con- clusion: Patients with medial, small-volume SPOA can be successfully treated with a conservative approach. While medially located large vol- ume SPOA requires ESS with ESS alone, superiolaterally located SPOA requires external surgical abscess drainage in addition to ESS.