Orbital Subperiosteal Abscess Associated with Mandibular Wisdom Tooth Infection: A Case Report

Eltayeb, Amel Salah; Karrar, Musadak Ali; Elbeshir, E.I.

doi:10.1007/s12663-017-1074-z

Cited by 10 publications

(5 citation statements)

References 8 publications

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“…Therefore, infection, or trauma of the paranasal sinuses or any of the anatomic structures drained by the cavernous sinus, including the mid-face, orbit, pharynx, oral cavity, and ear, may predispose to CST. 7 Prior to the COVID-19 era only 200 cases were reported in literature 8 and approximately 0.2 to 1.6 CST cases per 100,000 were reported yearly 9 with an increased susceptibility in diabetic or immunosuppressed patients, 10 and a strong association with the development of mucormycosis as an invasive and aggressive infection in COVID-19 patients. 11 There is limited data on the changing trends in epidemiology of CST in the COVID-19 era in terms of prevalence, predisposing factors and adverse outcomes.…”

Section: Introductionmentioning

confidence: 99%

Radiographic and Clinical Analysis of Cranio-Maxillofacial Complications of Cavernous Sinus Thrombosis Among 256 COVID-19 Patients

Shukhrat

Dar‐Odeh

Dilnoza

et al. 2022

Journal of Craniofacial Surgery

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Background: A heavy burden of cranio-maxillofacial complications may be encountered in corona virus disease-2019 patients due to the associated coagulopathy and inflammatory consequences of the disease. This study aims to describe clinical and radiographic features of these complications in 256 patients who developed 1 or more of the following complications: cavernous sinus thrombosis, osteomyelitis or necrosis of the jaws. Methods: Clinical assessment of cranial nerve function and general clinical assessment were performed. Imaging techniques used were multi-slice computed tomography, magnetic resonance imaging, and MRI with contrast enhancement. Results: Thromboembolism of brain and facial blood vessels were associated with inflammation and necrosis. Multi-slice computed tomography/MR angiography showed thrombotic occlusions of the internal carotid artery in the area of the cavernous sinus, and in the ophthalmic veins. Cavernous sinus thrombosis was attributed to coagulopathy and, inflammation of the paranasal sinuses, especially sphenoiditis. A noticeable increase in the size of the cavernous sinus was detected. Compression of the cranial nerves in the cavernous sinus (CS) region causes dysfunction and pathology in the corresponding regions.

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Section: Introductionmentioning

confidence: 99%

Radiographic and Clinical Analysis of Cranio-Maxillofacial Complications of Cavernous Sinus Thrombosis Among 256 COVID-19 Patients

Shukhrat

Dar‐Odeh

Dilnoza

et al. 2022

Journal of Craniofacial Surgery

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“…Thirty-five cases of odontogenic orbital cellulitis have been described in the literature from 1980 to 2022 [1,[3][4][5][6][7][8][9][10][11][12]. Among them, the majority were men (65.7%).…”

Section: Resultsmentioning

confidence: 99%

“…Remaining etiologies include periocular trauma, history of surgery, skin infections, dacryocystitis, oral infections and upper respiratory infections [1][2][3][4]. Odontogenic origin thus represents only 1.3-5% of cases of orbital cellulitis [2,[5][6][7][8]. There are three main routes of spread of oral infection to the orbit (Fig.…”

Section: Introductionmentioning

confidence: 99%

Odontogenic orbital cellulitis: literature review

Guichaoua,

Genest-Beucher,

Boisrame

2024

J Oral Med Oral Surg

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Introduction: Odontogenic origin is a rare cause (1.3–5%) of cases of orbital cellulitis, but it can lead to very important morbidity such as blindness or thrombosis of the cavernous sinus. It is therefore important to know how to recognize it. Methods: A literature review was performed. The parameters analyzed included age, sex, ethnicity, clinical presentation, imaging to determine orbital involvement, etiology, microbiology, treatment (medical and/or surgical), and final outcome of each case. Chandler's classification was used to classify the different types of cellulitis. Results: Thirty-five cases of odontogenic orbital cellulitis have been described in literature from 1980 to 2022. In 42.9% of cases, the cellulitis corresponded to an intra-orbital abscess (Chandler stage IV). Thrombosis of the cavernous sinus (stage V) was detected in 5.7% of cases. Periorbital edema (100%), ocular or facial pain (82.9%) and limitation of eye movements (82.9%) were the three most common ophthalmological signs. The anamnesis revealed an element pointing to a dental origin in 97.1% of the cases, the two most frequent being a dental avulsion (20%) or an endodontic treatment (14.3%), in days or weeks preceding the onset of symptoms. Imaging was performed on admission in 94.3% of cases. Regarding the most frequently encountered germs, commensal streptococcus of the oral cavity or anaerobic bacteria were found in 25.7% of cases, and coagulase-negative staphylococcus in 22.9% of cases. In 94.3% of cases, broad-spectrum intravenous antibiotic therapy was initiated as soon as the diagnosis was made. The common feature was the use of metronidazole in 51.4% of cases, combined with a third-generation cephalosporin (11.4%) or amoxicillin-clavulanic acid (8.6%). Orbital drainage was necessary in 71.4% of cases to allow resolution of symptoms, associated with drainage of the maxillary sinus in 45.7% of cases. Finally, the treatment allowed a recovery without sequelae in 80% of cases. Discussion: In case of suspected orbital cellulitis, imaging is crucial to confirm the diagnosis, the type of cellulitis and plan the appropriate surgical treatment. The first step of treatment will be the quick start of a broad spectrum intravenous antibiotic therapy, targeting aerobic and anaerobic bacteria. However, it seems imperative to associate a surgical treatment consisting in a first step of an oral drainage and an elimination of the oral infectious source, as well as an orbital drainage whose approach will have been determined by the imaging. Conclusion: Orbital cellulitis is a rare complication of oral cavity infections, but it must be recognized and treated in time to avoid serious morbidity. An early medical and surgical treatment will usually allow good results and a healing process without sequelae.

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“…2 | immune response (chemotherapy, steroid therapy). [20,21] Fever, headache, orbital edema, ophthalmoplegia, exophthalmos (fig. no.…”

Section: Cavernous Sinus Thrombosismentioning

confidence: 99%

Selected Pathological Conditions Within the Cavernous Sinus

Basiaga,

Bednarz,

Żądecka-Kobiałka

et al. 2024

ArveMED

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The neurosurgical literature shows that the effectiveness of the main sinus outflow in its main function depends on access to the anatomy and pathology in the presellar area and the development of neuroimaging methods. The pathology of the cavernous sinus is often revealed in imaging tests, which are often accompanied by other tests unrelated to the cause. Tumors located within the cavernous sinus pose a significant challenge for surgeons. Although it is often possible to decide to opt out, it is possible. Not only tumors can be located in the cavernous sinus and affect placement in any structure. The aim of this work is to raise awareness of pathological conditions within the cavernous sinus. Methods: Selected articles from Pubmed and specialist textbooks were analyzed in detail. We focused on selected pathological conditions occurring within the cavernous sinus, which a doctor may often encounter in his clinical work. Conclusion: The cavernous sinus is a place where tumors and other pathologies arise. The development of imaging diagnostics allows neurosurgeons to more precisely determine the place within the sinus that has changed, and access to it is quite a challenge. Numerous observations of clinical conditions are increasingly a source of knowledge that can provide a therapeutic trial, but also speed up the detection of potential changes.

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Orbital Subperiosteal Abscess Associated with Mandibular Wisdom Tooth Infection: A Case Report

Cited by 10 publications

References 8 publications

Radiographic and Clinical Analysis of Cranio-Maxillofacial Complications of Cavernous Sinus Thrombosis Among 256 COVID-19 Patients

Radiographic and Clinical Analysis of Cranio-Maxillofacial Complications of Cavernous Sinus Thrombosis Among 256 COVID-19 Patients

Odontogenic orbital cellulitis: literature review

Selected Pathological Conditions Within the Cavernous Sinus

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