Sun L, Xiong Y P, Liu M C, Hu J, Peng C F
Hunan Provincial People's Hospital, First Affiliated Hospital of Hunan Normal University, Changsha 410005, China.
Zhonghua Yan Ke Za Zhi. 2022 Nov 11;58(11):917-919. doi: 10.3760/cma.j.cn112142-20220414-00176.
A 66-year-old woman presented with recurrent erythema, swelling and pain in her right eye. She had a history of extraction of the right upper second molar 5 months ago with subsequent development of an abscess which was incised and drained 4 months ago. Orbital CT scan revealed the formation of subperiosteal sinus cavity with an abscess in the right maxillary sinus and infraorbital foramen. The diagnosis was orbital honeycombing caused by odontogenic maxillary sinus septum infection. Utilizing the anterior lacrimal recess approach under nasal endoscope,incision and drainage of ocular abscess and debridement and drainage of right orbital abscess plus partial resection of the inner wall of the jaw were performed successfully with maxillary sinus septal drainage and maxillary sinus opening. The patient improved significantly after the operation.
一名66岁女性因右眼反复出现红斑、肿胀和疼痛前来就诊。她有5个月前拔除右上第二磨牙的病史，随后出现脓肿，4个月前进行了切开引流。眼眶CT扫描显示骨膜下窦腔形成，右侧上颌窦和眶下孔有脓肿。诊断为牙源性上颌窦间隔感染导致的眼眶蜂窝织炎。在鼻内镜下采用前泪隐窝入路，成功进行了眼脓肿切开引流、右眼眶脓肿清创引流以及颌骨内壁部分切除，并进行了上颌窦间隔引流和上颌窦开窗。术后患者病情明显改善。
