Endoscopic Drainage of Supero-lateral Subperiosteal Orbital Abscess: An Alternative Approach to Frontal Sinusitis

Endoscopic Drainage of Supero-lateral Subperiosteal Orbital Abscess: An Alternative Approach to Frontal Sinusitis

Subperiosteal abscess (SPA) complicating sinusitis is commonly located lateral to the lamina papyracea. The thin lamina papyracea allows easy spread of infection from ethmoid sinus into subperiosteal space. Superolateral or superior located SPA is rare and traditionally are drained by open approach. We report a 56-year-old man with right SPA located in the supero-lateral orbital roof secondary to frontal sinusitis successfully drained endoscopically avoiding additional external skin incision and achieve a complete evacuation of abscess without evidence of recurrence on follow up at 1 year.

___

  • Williamson-Noble FA. Disease of the orbit and its contents secondary to pathological conditions of the nose and paranasal sinuses. Ann R Coll Surg Engl 1954; 15: 46-64.
  • Schramm VL, Urtin HD, Kennerdell JS. Evaluation of orbital cellulitis and results of treatment. Laryngoscope 1982; 92: 732-738.
  • Arjmand EM, Lusk RP, Muntz HR. Paediatric sinusitis and subperiosteal orbital abscess formation: diagnosis and treatment. Otolaryngol Head Neck Surg 1993; 109: 886-894.
  • Spires JR, Smith RJH. Bacterial infections of the orbital and periorbital soft tissue in children. Laryngoscope 1986; 96: 763-767.
  • Sajjadian A, Chundru U, Isaacson G. Prospective application of a protocol for selective nonsurgical management of suspected orbital subperiosteal abscessed in children. Arch Otolaryngol head Neck Surg 2001; 127: 281-286.
  • Vittorio S, Giovanni M, Paolo F, et al. Endoscopic surgery for the treatment of pediatric subperiosteal orbital abscess: a report of 10 cases. International J Ped Otorhinolaryngol 2009; 73: 1669-1672.
  • Ketenci I, Unlü Y, Vural A, et al. Apporaches to subperiosteal orbital abscesses. Eur Arch Otorhinolaryngol 2013; 270: 1317-1327.