Download PDF
CC BY 4.0 · Eur J Dent 2021; 15(04): 802-805
DOI: 10.1055/s-0041-1731588
Case Report

Odontogenic Subperiosteal Abscess of the Lateral Orbit: Timely Recognition and Management

Ashley N. Houle
1   Chicago Medical Center, The University of Illinois, Chicago, Illinois, United States
,
Chau Pham
1   Chicago Medical Center, The University of Illinois, Chicago, Illinois, United States
,
Nita Valikodath
1   Chicago Medical Center, The University of Illinois, Chicago, Illinois, United States
,
Jordan S. Elmowitz 
1   Chicago Medical Center, The University of Illinois, Chicago, Illinois, United States
,
Nicholas Callahan
1   Chicago Medical Center, The University of Illinois, Chicago, Illinois, United States
› Author Affiliations Funding None.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Orbital abscess is a rare entity due to an odontogenic infection. The progression from a toothache to serious complications such as blindness or death can be sudden and severe. The authors present the case of a 13-year-old male patient with a 2-day history of dental pain, which progressed to involve the periorbital tissues. He was experiencing visual symptoms. Computed tomographic imaging revealed a canine space abscess associated with a carious right maxillary molar in continuity with a subperiosteal abscess of the right lateral orbit. Surgical drainage was performed under general anesthesia via intraoral and extraoral approaches. The postoperative course was uncomplicated and vision improved. Multidisciplinary and timely management is crucial for successful outcomes in managing orbital abscesses of odontogenic origin. Therefore, it is crucial for emergency and primary care physicians to recognize when specialist consultation is indicated and expedite this process.

Keywords

abscess - orbit - pediatric - subperiosteal


Publication History

Article published online:
13 August 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Fayle SA, Welbury RR, Roberts JF. British Society of Paediatric Dentistry. BSPD. British Society of Paediatric Dentistry: a policy document on management of caries in the primary dentition. Int J Paediatr Dent 2001; 11 (02) 153-157
    CrossrefPubMedGoogle Scholar
  • 2 Arunkumar KV. Orbital infection threatening blindness due to carious primary molars: an interesting case report. J Maxillofac Oral Surg 2016; 15 (01) 72-75
    CrossrefPubMedGoogle Scholar
  • 3 Goodwin Jr WJ, Weinshall M, Chandler JR. The role of high resolution computerized tomography and standardized ultrasound in the evaluation of orbital cellulitis. Laryngoscope 1982; 92 (7 Pt 1) 729-731
    PubMedGoogle Scholar
  • 4 Harris GJ. Subperiosteal abscess of the orbit. Age as a factor in the bacteriology and response to treatment. Ophthalmology 1994; 101 (03) 585-595
    CrossrefPubMedGoogle Scholar
  • 5 Harris GJ. Subperiosteal inflammation of the orbit. A bacteriological analysis of 17 cases. Arch Ophthalmol 1988; 106 (07) 947-952
    CrossrefPubMedGoogle Scholar
  • 6 Rosen D, Ardekian L, Abu I el-Naaj, Fischer D, Peled M, Laufer D. Orbital infection arising from a primary tooth: a case report. Int J Paediatr Dent 2000; 10 (03) 237-239
    CrossrefPubMedGoogle Scholar
  • 7 Moreira MD, Santos GS, Maciel J. et al J Craniofac Surg 2013; 24: 5
    CrossrefPubMed
  • 8 Harris GJ. Subperiosteal abscess of the orbit. Arch Ophthalmol 1983; 101 (05) 751-757
    CrossrefPubMedGoogle Scholar
  • 9 Brook I, Frazier EH. Microbiology of subperiosteal orbital abscess and associated maxillary sinusitis. Laryngoscope 1996; 106 (08) 1010-1013
    CrossrefPubMedGoogle Scholar
  • 10 Socransky SS, Manganiello SD. The oral microbiota of man from birth to senility. J Periodontol 1971; 42 (08) 485-496
    CrossrefPubMedGoogle Scholar
  • 11 Muñoz-Guerra MF, González-García R, Capote AL, Escorial V, Gías LN. Subperiosteal abscess of the orbit: an unusual complication of the third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 102 (05) e9-e13
    CrossrefPubMedGoogle Scholar
  • 12 Mawn LA, Hong GJ, Dmitriev P, et al. Orbital cellulitis. Available at: https://www.aao.org/oculoplastics-center/bacterial-orbital-cellulitis-2. Accessed 2021
  • 13 Harris GJ. Subperiosteal abscess of the orbit: computed tomography and the clinical course. Ophthal Plast Reconstr Surg 1996; 12 (01) 1-8
    CrossrefPubMedGoogle Scholar