Wang Yan, Zhang Jie, Dong Lei, Jiang Hong, Song Xicheng
Department of Otolaryngology-Head and Neck Surgery.
Department of Ultrasound, Qingdao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, Shandong Province, China.
Medicine (Baltimore). 2019 Sep;98(39):e17365. doi: 10.1097/MD.0000000000017365.
Periorbital cellulitis or an orbital abscess caused by acute sinusitis is a serious acute infectious disease. If not treated in time, serious complications may occur.
A 16-year-old girl with a history of right-sided proptosis, periorbital swelling, chemosis, hypophasis, restricted ocular movement in the upward direction, and diminution of vision was referred to our institution. The clinic, computed tomography (CT) and magnetic resonance imaging (MRI) examination indicate right orbital abscess in the upper quadrant and sinusitis.
She was diagnosed with orbital abscess, acute sinusitis.
She underwent medical management, transnasal endoscopic surgery and then ultrasound-guided fine needle aspiration (FNA) and catheter drainage.
She was completely cured without any complications or sequelae.
Performance of surgical drainage in a timely manner and administration of effective antibiotic treatment according to bacterial culture can reduce the complications of orbital abscesses. Ultrasound-guided FNA and catheter drainage is a safe, simple, and effective method for the treatment of orbital abscess.
急性鼻窦炎引起的眶周蜂窝织炎或眶脓肿是一种严重的急性传染病。若不及时治疗，可能会发生严重并发症。
一名16岁女孩因右侧眼球突出、眶周肿胀、球结膜水肿、眼球下陷、向上眼球运动受限及视力下降前来我院就诊。临床、计算机断层扫描（CT）和磁共振成像（MRI）检查显示右上象限眶脓肿及鼻窦炎。
诊断为眶脓肿、急性鼻窦炎。
她接受了药物治疗、经鼻内镜手术，然后进行了超声引导下细针穿刺抽吸（FNA）及置管引流。
她完全治愈，无任何并发症或后遗症。
及时进行手术引流并根据细菌培养给予有效的抗生素治疗可减少眶脓肿的并发症。超声引导下FNA及置管引流是治疗眶脓肿的一种安全、简单且有效的方法。
