Orbital complications following extraction of mandibular molar teeth: a case report

Abstract

Serious sequelae of dental infections are unusual but can be potentially life-or sight-threatening. This case describes the rapid and extensive development of a fascial space infection through an uncommon route, originating in mandibular molar teeth to involve the orbital tissues. Relevant surgical anatomy and pathophysiology are discussed. Also highlighted is the multidisciplinary management of care across three surgical specialities with input from the radiology and microbiology teams.Oral Surgery 12 (2019) 75--80.

An unusual route of odontogenic infection from the mandible to the orbit through the facial spaces resulting in blindness: a rare case

“…1,2,[5][6][7][8][9][10][11] Odontogenic orbital infections usually originate from maxillary teeth, either through maxillary sinusitis or, rarely, by direct invasion of the facial spaces. 9,[13][14][15][16] The spread of an odontogenic infection to orbital space can result in serious morbidity, such as visual loss, cavernous sinus thrombosis, and death. 16,18,19 This case report serves as an example of how improper assessment of infection's route of spread could lead to delayed treatment and catastrophic results.…”