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George H. Zalzal, MD

Arch Otolaryngol Head Neck Surg. 1991;117(5):557-559.

Abstract
• Periorbital abscess secondary to sinusitis is a well-recognized entity in children. However, subperiosteal hematoma is extremely rare and has been reported in only four adult patients. This article presents the case of a 4-year-old girl with sinusitis, proptosis, and decreased visual acuity. Surgical exploration of the orbit revealed the presence of a large organizing subperiosteal hematoma that was drained. The presence of a periorbital hematoma should be suspected in patients with acute onset of proptosis and findings of a periorbital mass and sinusitis on computed tomographic scan.

(Arch Otolaryngol Head Neck Surg. 1991;117:557-559)

Author Affiliations
From the Departments of Otolaryngology and Pediatrics, Children's National Medical Center and George Washington University, Washington, DC.

Footnotes
Accepted for publication January 8, 1991.

Reprint requests to the Department of Pediatric Otolaryngology, Children's National Medical Center, 111 Michigan Ave NW, Washington, DC 20010 (Dr Zalzal).

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