Subacute phase treatment of subperiosteal hematoma of the orbit with epidural hematoma in the frontal cranial fossa: Case report

Abstract

BackgroundSubperiosteal hematoma of the orbit is one of the rare lesions that cause exophthalmos after craniomaxillofacial trauma. Presently, there is no consensus for how to treat this disease. Although some reports have suggested a conservative type of therapy, others have recommended surgical treatments be done during the early stages.Case presentationThis case report provides details on the clinical course of a 9-year-old girl with subperiosteal hematoma of the orbit. In this particular patient, a rare case of ipsilateral subfrontal extradural hematoma was also observed. Due to our performing the surgical intervention during the subacute stage, functional complications as well as cosmetic problems were avoided.ConclusionOur results demonstrate that surgical treatments for subperiosteal hematoma of the orbit should be delayed until it can be confirmed that a patient has no other complications. On the other hand, once it has been confirmed that the patient has no other existing problems, immediate surgical therapy with a small skin incision followed by the setting of a drain is recommended in order to achieve an early resolution and avoid complications.

Posttraumatic Subperiosteal Orbital Hematoma With Intracranial Hemorrhage in A Male Infant

“…The treatment of choice, however, remains controversial. Many studies recommend early surgical interventions for rapid recovery and to prevent sequelae [7]. In contrast, other reports recommend observation to prevent surgical complications such as local infections and re-bleeding [8].…”

“…In contrast, other reports recommend observation to prevent surgical complications such as local infections and re-bleeding [8]. It is important to note that successful conservative treatment was reported in children older than ten years who were not in the critical period for vision development [1,6,7].…”

Imaging Diagnosis ‐ Spontaneous Subperiosteal Vertebral Hemorrhage in a Greyhound

“…Subperiosteal hematoma is an infrequent condition, most commonly reported in the human medical literature in relation to the orbit. Development of hemorrhage in this region has been reported to result from trauma, infection/inflammation, or an underlying coagulopathy . The condition is considered to be spontaneous when there is no evidence of an underlying pathogenic mechanism .…”

“…The condition is considered to be spontaneous when there is no evidence of an underlying pathogenic mechanism . Less common are reports of subperiosteal hemorrhage affecting the central nervous system due to extradural compression . Only one report of spinal subperiosteal hemorrhage exists in the medical literature.…”

Pediatric posttraumatic orbital subperiosteal hematoma

“…In cases of optic nerve compression, surgical drainage should be performed to prevent permanent optic nerve damage. Mikami et al 9 reported that in subperiosteal orbital hematoma, immediate surgical intervention and drainage prevent further complications. 33 Decrease in visual acuity commonly occurs, but it is often not a result of compressive optic neuropathy, and frequently it resolves during the recuperative period.…”