Manning S C
Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas 75235-9035.
Arch Otolaryngol Head Neck Surg. 1993 Jul;119(7):789-91. doi: 10.1001/archotol.1993.01880190085018.
Medial subperiosteal orbital abscess is the most common serious orbital complication of pediatric sinusitis. When it is confirmed by radiograph or strongly suspected from clinical findings, most authors recommend drainage via an external ethmoidectomy. The present case review describes five pediatric patients with medial subperiosteal orbital abscesses that were successfully managed via an endoscopic ethmoidectomy approach. Potential advantages include avoidance of a scar and more rapid resolution of signs and symptoms.
眶内侧骨膜下脓肿是小儿鼻窦炎最常见的严重眼眶并发症。当通过影像学检查确诊或根据临床表现高度怀疑时，大多数作者建议通过鼻外筛窦切除术进行引流。本病例回顾描述了5例通过鼻内镜筛窦切除术成功治疗的眶内侧骨膜下脓肿患儿。其潜在优势包括避免留下瘢痕以及更快地缓解体征和症状。
