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Medical versus surgical management of pediatric orbital subperiosteal abscesses
Author(s) -
Bedwell Joshua R.,
Choi Sukgi S.
Publication year - 2013
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.24014
Subject(s) - medicine , cavernous sinus thrombosis , orbital cellulitis , surgery , sinusitis , orbit (dynamics) , abscess , complication , retrospective cohort study , antibiotics , cellulite , cellulitis , cavernous sinus , engineering , aerospace engineering , microbiology and biotechnology , biology
BACKGROUND Orbital subperiosteal abscess (SPA) describes a process in which a collection of pus forms between the bony orbit and the periorbita. SPA most commonly arises as a complication of acute sinusitis, where it exists along a spectrum of orbital involvement from limited (preseptal cellulitis) to severe (cavernous sinus thrombosis). The surgical management of SPA in children has evolved from drainage via an external approach to an endoscopic approach. Controversy remains, however, in deciding which SPAs require drainage, and which may be managed conservatively with systemic antibiotics.