Laycock Juliet, Wright Oliver James, Geyton Thomas, Bowles Philippe
Otolaryngology, Royal Sussex County Hospital, Brighton, UK
Otolaryngology, Royal Sussex County Hospital, Brighton, UK.
BMJ Case Rep. 2020 Apr 20;13(4):e233230. doi: 10.1136/bcr-2019-233230.
We describe a case of paediatric orbital cellulitis with subperiosteal abscess following blunt facial trauma. Clinical features of orbital cellulitis developed on day 1 post-trauma. A subperiosteal collection subsequently formed lateral to the globe, causing significant ocular compromise. Surgical drainage and sinus washout were performed via external incisions, with satisfactory outcome. This case highlights how trauma may represent a non-sinogenic aggravating factor in orbital cellulitis. We describe how a subperiosteal abscess may vary depending on its aetiology, and how the surgical approach can be modified to locate and drain a laterally sited subperiosteal abscess.
我们描述了一例小儿面部钝器伤后发生眶蜂窝织炎并伴有骨膜下脓肿的病例。眶蜂窝织炎的临床特征于创伤后第1天出现。随后在眼球外侧形成骨膜下积液，导致严重的眼部功能障碍。通过外部切口进行了手术引流和鼻窦冲洗，结果令人满意。该病例突出了创伤如何可能成为眶蜂窝织炎中一个非鼻窦源性的加重因素。我们描述了骨膜下脓肿如何因其病因不同而有所差异，以及如何调整手术方法来定位和引流位于外侧的骨膜下脓肿。
