A Case of Delayed Orbital Cellulitis after Orbital Wall Fracture Repair Using Absorbable Implant
Journal of the Korean Ophthalmological Society
;
: 1165-1169, 2016.
Article
Dans Coréen
| WPRIM
| ID: wpr-174267
ABSTRACT
PURPOSE:
To report a case of delayed orbital cellulitis with subperiosteal abscess after orbital floor fracture repair using an absorbable sheet implant (Macropore®, Medtronic Inc., Minneapolis, MN, USA). CASESUMMARY:
A 16-year-old male visited the oculoplastic clinic for left eye pain, lower eyelid swelling and vertical diplopia for 1 day. The patient had a history of inferior orbital wall fracture repair surgery using Macropore® 20 months prior. The orbital computed tomography scan showed a subperiosteal cystic mass with surrounding infiltration at the left orbital floor, and ethmoidal and maxillary sinusitis; however, sheet implant was not clearly observed. Despite systemic antibiotic treatment for 3 days, his clinical findings did not improve, thus we decided to drain the subperiosteal abscess through a transconjunctival approach. Intraoperatively, the Macropore® sheet was almost dissolved, but small pieces remained. The culture of drained contents showed no microorganisms. Systemic antibiotics were continued for 18 days after surgery, and clinical symptoms completely improved.CONCLUSIONS:
Delayed orbital cellulitis should be considered in patients with extraocular muscle movement limitation and painful orbital swelling if the patient has a history of orbital wall fracture repair, even if a bioresorbable implant was used. Prompt imaging evaluation should be emphasized for early diagnosis and proper treatment.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Orbite
/
Fractures orbitaires
/
Sinusite maxillaire
/
Implant résorbable
/
Diagnostic précoce
/
Abcès
/
Diplopie
/
Paupières
/
Cellulite orbitaire
/
Douleur oculaire
Type d'étude:
Etude diagnostique
/
Étude de dépistage
Limites du sujet:
Adolescent
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Journal of the Korean Ophthalmological Society
Année:
2016
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS