Computed tomography in the management of orbital infections associated with dental disease

T. P. Flood, L. S. Braude, L. M. Jampol, S. Herzog

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Two patients developed orbital infection secondary to dental infections. In one patient the infection spread from maxillary premolar and molar teeth to the infratemporal and pterygopalatine fossa and then through the inferior orbital fissure to the subperiosteal space. A subperiosteal abscess in the posterior lateral orbital wall developed, which subsequently spread within the muscle cone. In the second patient infection of an anterior maxillary tooth caused a pansinusitis and unilateral orbital cellulitis. In both patients computed tomographic scanning of the orbit proved valuable in localising the infection and, in one case, planning a surgical approach to the orbit. The infection in both patients responded to treatment, with no permanent visual impairment. Appropriate antibiotics and prompt identification and surgical drainage of orbital abscesses are essential for the preservation of vision in cases of orbital infection.

Original languageEnglish (US)
Pages (from-to)269-274
Number of pages6
JournalBritish Journal of Ophthalmology
Volume66
Issue number4
DOIs
StatePublished - 1982

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

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