급성 치성상악동염으로 인한 안구후농양: 증례보고
Retrobulbulbar Abscess Due to Acute Odontogenic Sinusitis: a Case Report
조현주, 정용선, 채병무, 정태영, 박상준,
소속 상세정보
조현주 ( Jo Hyun-Joo ) - 인제대학교 부산백병원 구강악안면외과
정용선 ( Jeong Yong-Seon ) - 인제대학교 의과대학 부산백병원 구강악안면외과
채병무 ( Chae Byung-Moo ) - 인제대학교 의과대학 부산백병원 구강악안면외과
정태영 ( Jung Tae-Young ) - 인제대학교 의과대학 부산백병원 구강악안면외과
박상준 ( Park Sang-Jun ) - 인제대학교 의과대학 부산백병원 구강악안면외과
KMID : 0360120100320060563
Abstract
Retrobulbar abscess is a rare, but severe complication of paranasal sinusitis. The clinical presentations are eyelid swelling, erythema, proptosis, conjunctival chemosis, restricted ocular movement, and decreased visual acuity. Diagnostic methods available for evaluating retrobulbar abscess include sinus X-ray, ultrasonography, computed tomography(CT), and bacterial culture. For the treatment of retrobulbar abscess, immediate surgical drainage and systemic antibiotic therapy are needed. Proper diagnosis and treatments are necessary for preventing visual loss, cavernous sinus thrombosis, subdural abscess, and other life-threatening complications. A patient, a 30-year-old man, was admitted to our hospital because of progressive eyelid swelling, erythema, ptosis and decreased visual acuity on the right eye after endodontic treatment. The sinusitis occurred secondary to the infection from an upper molar tooth. The spread of the infection led to the orbit via ethmoidal sinus and posterior orbital wall. Immediate surgical intervention was performed and systemic antibiotics was administrated. The symptoms and signs are improved after treatments, so we present our case with a brief review of the literature.
키워드
Odontogenic infection; Retrobulbar abscess; Cavernous sinus thrombosis; Decreased visual acuity
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