Hu XH, Zhang C, Dong YK, Cong TC. Subperiosteal orbital hematoma concomitant with abscess in a patient with sinusitis: A case report. World J Clin Cases 2022; 10(28): 10326-10331 [PMID: 36246805 DOI: 10.12998/wjcc.v10.i28.10326]
Corresponding Author of This Article
Tie-Chuan Cong, MD, Associate Chief Physician, Department of Otolaryngology-Head & Neck Surgery, Peking University First Hospital, No. 1 Xi’anmen Street, West District, Beijing 100034, China. congtiechuan@bjmu.edu.cn
Research Domain of This Article
Otorhinolaryngology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2022; 10(28): 10326-10331 Published online Oct 6, 2022. doi: 10.12998/wjcc.v10.i28.10326
Subperiosteal orbital hematoma concomitant with abscess in a patient with sinusitis: A case report
Xi-Hao Hu, Chi Zhang, Yu-Ke Dong, Tie-Chuan Cong
Xi-Hao Hu, Chi Zhang, Yu-Ke Dong, Tie-Chuan Cong, Department of Otolaryngology-Head & Neck Surgery, Peking University First Hospital, Beijing 100034, China
Yu-Ke Dong, Department of Otolaryngology-Head & Neck Surgery, Zhengzhou Central Hospital, Zhengzhou 450007, Henan Province, China
Author contributions: Cong TC was the patient’s surgeon and drafted the manuscript; Hu XH, Zhang C, and Dong YK attributed to the data collection and critically revised the manuscript; all authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tie-Chuan Cong, MD, Associate Chief Physician, Department of Otolaryngology-Head & Neck Surgery, Peking University First Hospital, No. 1 Xi’anmen Street, West District, Beijing 100034, China. congtiechuan@bjmu.edu.cn
Received: May 29, 2022 Peer-review started: May 29, 2022 First decision: June 27, 2022 Revised: July 10, 2022 Accepted: August 25, 2022 Article in press: August 25, 2022 Published online: October 6, 2022 Processing time: 120 Days and 22 Hours
Abstract
BACKGROUND
Sinusitis-derived subperiosteal orbital collection is uncommon and is usually diagnosed as subperiosteal orbital abscess or, rarely, as hematoma. We report a unique and even rarer case of subperiosteal orbital collection, which is actually a complication of hematoma and abscess.
CASE SUMMARY
A 26-year-old female presented with left eyeball pain and ipsilateral chemosis. She had no history of head trauma or upper respiratory infection. Her blood cell count showed an increase in leukocytes. Fiberoptic rhinolaryngoscopy revealed only mucosal edema of the left olfactory crest without apparent discharge. The computed tomography scan results showed an opaque left posterior ethmoid cell with a thickened bony shell and fusiform changes in the periosteal elevation of the medial wall of the left orbit. Emergent surgery revealed an ethmoid mucocele complicated with subperiosteal orbital hematoma and abscess. The pathology of the lamina papyracea between the mucocele and subperiosteal collection was necrotic, and the overlying mucosa was de-epithelialized.
CONCLUSION
Subperiosteal orbital hematoma with abscess in a patient with sinusitis adds to the current knowledge of orbital complications of sinusitis.
Core Tip: As a differential diagnosis of subperiosteal orbital collection, subperiosteal orbital hematoma concomitant with abscess needs to be taken into consideration. Surgery is advocated for the diagnosis and treatment of such pathology. This report adds to current knowledge regarding the orbital complications of sinusitis.
