Orbital Abscess Surgical Approach


  • Orbital cellulitis is usually a complication of paranasal sinus infection.
  • Either {the} infection could dissect under {the} periosteum and lead to subperiosteal abscess (SPA) or intraorbital abscess could be formed secondary to a progressive and localized cellulitis.

  • Without appropriate tre atment orbital infection could lead to serious complications, even death.
  • Prompt treatment is mandatory to avoid visual loss or intracranial complications. Initially, IV antibiotics could be administered, but if no improvement appears within 48h, surgical drainage of {the} orbit and {the} affected sinuses must be performed.
  • In medial or medial-inferior SPA a transnasal approach is used, but in superior orbital abscess an external incision is required.


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