European Journal of Biomedical and Pharmaceutical Sciences

ENDOSCOPIC DRAINAGE OF MEDIAL SUBPERIOSTEAL ORBITAL ABSCESS IN A YOUNG CHILD – A CASE REPORT WITH REVIEW

*Pirabu Sakthivel, Bhinya Ram, Prem Sagar, Rishikesh Thakur and Rijendra Yogal

ABSTRACT

Acute rhinosinusitis is the predominant cause of orbital infections in children. The incidence of subperiosteal orbital abscess [SPOA] is about 15% in children. The diagnosis of SPOA is based on clinical findings and radiological investigations. Despite antimicrobial and surgical management, 15% to 30% of patients with SPOA develop various visual sequelae. Hence prompt diagnosis and appropriate early intervention is of paramount importance. Treatment of SPOA remains controversial with no defined and established guidelines. It is necessary to take decisions on case by case basis. However numerous recent studies have documented the efficacy and safety of endoscopic drainage of SPOA especially in children. We report a case of medial SPOA managed early with transnasal endoscopic drainage with excellent post operative result.

Keywords: Subperiosteal abscess, endoscopic drainage, complicated sinusitis.