AI Summary & Key Takeaways
AI InsightThe patient was followed during postoperative 6 months and no symptom was seen.
📌 3 Key Takeaways
Abstract
Intraorbital abscess is a serious complication of sinusitis with the danger of permanent loss of vision. A 13 year-old girl presented with complaints of having had swelling of the left lids, hyperemia and headache for 2 days. In the paranasal computed tomographic scans were diagnosed as left intraorbital abscess following bilateral ethmoid and frontal sinüsitis. On ophthalmolojic examination vision and fundus control were normal. Abscess which is in the superomedial of the left orbit was drained surgically with external approach and patient was treated intravenously with ampicillin-sulbactam . The symptoms were disappered 1 week postoperatively. In repeat CT scan pansinüsitis findings continued therefore functional endoscopic sinus surgery was performed. The patient was followed during postoperative 6 months and no symptom was seen.
Özet
İntraorbital apse sinüzitin kalıcı görme kaybı tehlikesi olan ciddi bir komplikasyonudur. 13 yaşındaki kız çocuğu 2 gündür devam eden sol göz kapaklarında şişlik, kızarıklık ve baş ağrısı şikayeti ile başvurdu. Paranazal bilgisayarlı tomografisinde bilateral etmoid ve frontal sinüzite eşlik eden sol intraorbital apse izlendi. Oftalmolojik muayenede hastanın görmesi ve fundus muayenesi normaldi. Eksternal yaklaşımla sol orbita süperomedialindeki apse drene edildi ve parenteral ampicillin sulbactam tedavisi verildi. Postoperatif 1. haftada hastanın şikayetleri düzeldi Kontrol BT sinde pansinüzit bulguları devam eden hastaya fonksiyonel endoskopik sinüs cerrahisi yapıldı. Postoperatif 6 ay takip edilen hastada başka bir semptom izlenmedi.