Page E L, Wiatrak B J
Division of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, USA.
Arch Otolaryngol Head Neck Surg. 1996 Jul;122(7):737-40. doi: 10.1001/archotol.1996.01890190033009.
Periorbital cellulitis is frequently limited to the preseptal region. However, there may be associated postseptal inflammation and orbital subperiosteal abscess (SPA). Surgical management of orbital SPA includes open drainage through an external ethmoidectomy approach, although recently the use of endoscopic techniques has been reported. This study was undertaken to evaluate postseptal cellulitis and orbital SPA in patients with periorbital cellulitis and to assess the safety and effectiveness of endoscopic management of orbital SPA. From 1989 through 1994, 158 patients were admitted with a diagnosis of periorbital cellulitis. Nineteen of these patients were diagnosed with postseptal orbital inflammation, and 14 underwent surgical drainage via an external approach, an endoscopic approach, or a combination of both. Issues addressed include (1) the role of sinus disease as the cause of periorbital cellulitis; (2) the role of computed tomographic scanning; (3) the effectiveness of aggressive medical therapy; and (4) the results of endoscopic drainage of orbital SPA compared with the external approach.
眶周蜂窝织炎通常局限于眶隔前区域。然而，可能会伴有眶隔后炎症和眶骨膜下脓肿（SPA）。眶骨膜下脓肿的手术治疗包括通过外部筛窦切除术进行开放引流，不过最近有报道称可使用内镜技术。本研究旨在评估眶周蜂窝织炎患者的眶隔后蜂窝织炎和眶骨膜下脓肿，并评估内镜治疗眶骨膜下脓肿的安全性和有效性。1989年至1994年，158例诊断为眶周蜂窝织炎的患者入院。其中19例患者被诊断为眶隔后眶部炎症，14例患者通过外部入路、内镜入路或两者结合的方式接受了手术引流。探讨的问题包括：（1）鼻窦疾病作为眶周蜂窝织炎病因的作用；（2）计算机断层扫描的作用；（3）积极药物治疗的有效性；（4）与外部入路相比，内镜引流眶骨膜下脓肿的结果。
