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       XXIV Annual Congress of the Iranian Society of Ophthalmology        بـیــست و چهارمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Endoscopic Management of Extensive Orbital Abscess
Author(s): Mohsen Naraghi MD, Sayed Ziaeddin Tabatabaii MD
Presentation Type: Poster
Subject: Ophthalmic Plastic and Reconstructive Surgery
Others:
Presenting Author:
Name: Mohsen Naraghi
Affiliation :(optional) Tehran University of Medical Sciences
E mail: info@naraghi.ir
Phone: 88881376
Mobile: 09121088746
Purpose:

Subperiosteal and intraorbital abscesses are serious complications of paranasal sinus inflammations that are best managed by combination of medical and surgical approaches. Surgical management is mandatory in the case of orbital abscess. Other indications of surgery include loss of visual acuity, gross collection, clinical detoriation and failure to improve within 48 hours of antibiotic treatment. In the absence of these criteria a trial of intravenous antibiotic treatment can be considered with close monitoring of the patient.

Methods:

This paper presents endoscopic management of extensive abscess of the orbit of an adolescent with severe swelling of eyelid and chemosis. Obstructed ostiomeatal complex was managed at first step to help drainage of abscess and permanent drainage route of involved sinuses. Pearls to success and avoidance of pitfalls will be described in the article.

Results:

Postoperative recovery was uneventful with very fast resolution of symptoms and signs, so that in 48 hours the eye movements and vision reverted to normal with improvement of chemosis and eyelid swelling.

Conclusion:

Endoscopic management of medial abscess has considerable advantages when compared with traditional external approach. Treatment of underlying sinus diseases could cause decrease in recurrence rate. Lack of facial scar and fast improvement are other advantages of this method.

Attachment:





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  - بـیــست و چهارمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران