Minimal Endoscopic Approach to Subperiosteal Orbital Abscess
Patrick Froehlich, MD, PhD;
Seth M. Pransky, MD;
Philippe Fontaine, MD;
George Stearns, MD;
Alain Morgon, MD
Arch Otolaryngol Head Neck Surg. 1997;123(3):280-282.
Abstract
Objective
To limit endoscopic abscess drainage to the opening of the ethmoid cells involved, adjacent to the subperiosteal orbital abscess.
Design
Prospective study.
Patients
Twenty children with subperiosteal orbital abscess complicating acute sinusitis.
Intervention
Endoscopic opening of the medial wall of the bulla ethmoidalis and of the lamina papyracea.
Results
The limited endoscopic approach allowed subperiosteal orbital abscess drainage in all patients with positive clinical outcomes. Extensive ethmoidectomy was not necessary to achieve drainage.
Conclusions
Endoscopic subperiosteal orbital abscess drainage does not require complete ethmoidectomy as was previously performed and can be limited to the opening of the bulla ethmoidalis and the lamina papyracea through the bulla ethmoidalis.
Arch Otolaryngol Head Neck Surg. 1997;123:280-282
Author Affiliations
From the Départment d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale, Hôpital E. Herriot, Lyon, France (Drs Froehlich, Fontaine, and Morgon), and Children's Hospital, San Diego, Calif (Drs Pransky and Steams).
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