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Transantral Evacuation Of An Orbital Abscess Following A Molar Tooth Extraction.

J. Bizakis, C. Papadakis, P. Prassopoulos, D. Kyrmizakis, E. Prokopakis, E. Helidonis
Published 1997 · Medicine

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Orbital inflammation is a serious problem that may be lead to permanent disability and death.l Before the advent of antibiotics, Gamble reported that 17% of patients with orbital cellulitis died of meningitis, brain abscess, or cavernous sinus thrombosis, and that an additional 20% became blind on the affected side. Although these percentages are far lower today, the possibility of serious sequellae exists, particularly in the case of rare intraconal orbital abscess.2 In an orbital abscess, a discrete collection of pus is localized within the periorbita. Proptosis, chemosis, and extraocular muscle dysfunction are marked. It is common to note decreased visual acuity.3 Surgical drainage of the orbit is an emergency. The surgical procedure should be planned according to the results of computed tomography (CT).4
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