Purulent accumulation between bony orbital wall and orbital periosteum
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Chorney SR et al: The role of endoscopic sinus surgery in children undergoing external drainage of non-medial subperiosteal orbital abscess. Am J Rhinol Allergy. 35(3):288-95, 2021
Abtahi SMB et al: Non-medial infectious orbital cellulitis: etiology, causative organisms, radiologic findings, management and complications. J Ophthalmic Inflamm Infect. 10(1):22, 2020
Adil EA et al: Pediatric subperiosteal abscess secondary to acute sinusitis: a systematic review and meta-analysis. Laryngoscope. 130(12):2906-12, 2020
Danishyar A et al: Orbital cellulitis. StatPearls, 2020
Dohlman JC et al: Subperiosteal masqueraders as compared to subperiosteal abscess: contrasting clinical presentation and radiographic densities. Ophthalmic Plast Reconstr Surg. 36(6):596-600, 2020
Geusens J et al: Subperiosteal orbital abscess from odontogenic origin: a case report. Int J Surg Case Rep. 73:263-7, 2020
Cossack MT et al: Radiographic course of medically managed pediatric orbital subperiosteal abscesses. J Pediatr Ophthalmol Strabismus. 55(6):387-92, 2018
Gavriel H et al: Conservative management for subperiosteal orbital abscess in adults: a 20-year experience. Ann Otol Rhinol Laryngol. 127(3):162-6, 2018
Jabarin B et al: Indicators for imaging in periorbital cellulitis secondary to rhinosinusitis. Eur Arch Otorhinolaryngol. 275(4):943-8, 2018
Quintanilla-Dieck L et al: Characteristics of superior orbital subperiosteal abscesses in children. Laryngoscope. 127(3):735-40, 2017
Marchiano E et al: Characteristics of patients treated for orbital cellulitis: an analysis of inpatient data. Laryngoscope. 126(3):554-9, 2016
Erickson BP et al: Orbital cellulitis and subperiosteal abscess: a 5-year outcomes analysis. Orbit. 34(3):115-20, 2015
Liao JC et al: Subperiosteal abscess of the orbit: evolving pathogens and the therapeutic protocol. Ophthalmology. 122(3):639-47, 2015
Le TD et al: The effect of adding orbital computed tomography findings to the Chandler criteria for classifying pediatric orbital cellulitis in predicting which patients will require surgical intervention. J AAPOS. 18(3):271-7, 2014
Smith JM et al: Predicting the need for surgical intervention in pediatric orbital cellulitis. Am J Ophthalmol. 158(2):387-94.e1, 2014
Emmett Hurley P et al: Subperiosteal abscess of the orbit: duration of intravenous antibiotic therapy in nonsurgical cases. Ophthal Plast Reconstr Surg. 28(1):22-6, 2012
Todman MS et al: Medical management versus surgical intervention of pediatric orbital cellulitis: the importance of subperiosteal abscess volume as a new criterion. Ophthal Plast Reconstr Surg. 27(4):255-9, 2011
Migirov L et al: Endoscopic sinus surgery for medial orbital subperiosteal abscess in children. J Otolaryngol Head Neck Surg. 38(4):504-8, 2009
Sepahdari AR et al: MRI of orbital cellulitis and orbital abscess: the role of diffusion-weighted imaging. AJR Am J Roentgenol. 193(3):W244-50, 2009
Vairaktaris E et al: Orbital cellulitis, orbital subperiosteal and intraorbital abscess: report of three cases and review of the literature. J Craniomaxillofac Surg. 37(3):132-6, 2009
McIntosh D et al: Failure of contrast enhanced computed tomography scans to identify an orbital abscess. The benefit of magnetic resonance imaging. J Laryngol Otol. 122(6):639-40, 2008
Tanna N et al: Surgical treatment of subperiosteal orbital abscess. Arch Otolaryngol Head Neck Surg. 134(7):764-7, 2008
Rahbar R et al: Management of orbital subperiosteal abscess in children. Arch Otolaryngol Head Neck Surg. 127(3):281-6, 2001
Curtin HD et al: Extension to the orbit from paraorbital disease. The sinuses. Radiol Clin North Am. 36(6):1201-13, xi, 1998
Patt BS et al: Blindness resulting from orbital complications of sinusitis. Otolaryngol Head Neck Surg. 104(6):789-95, 1991
Chandler JR et al: The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 80(9):1414-28, 1970
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Orbital subperiosteal abscess (SPA)
Definitions
Purulent accumulation between bony orbital wall and orbital periosteum
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Chorney SR et al: The role of endoscopic sinus surgery in children undergoing external drainage of non-medial subperiosteal orbital abscess. Am J Rhinol Allergy. 35(3):288-95, 2021
Abtahi SMB et al: Non-medial infectious orbital cellulitis: etiology, causative organisms, radiologic findings, management and complications. J Ophthalmic Inflamm Infect. 10(1):22, 2020
Adil EA et al: Pediatric subperiosteal abscess secondary to acute sinusitis: a systematic review and meta-analysis. Laryngoscope. 130(12):2906-12, 2020
Danishyar A et al: Orbital cellulitis. StatPearls, 2020
Dohlman JC et al: Subperiosteal masqueraders as compared to subperiosteal abscess: contrasting clinical presentation and radiographic densities. Ophthalmic Plast Reconstr Surg. 36(6):596-600, 2020
Geusens J et al: Subperiosteal orbital abscess from odontogenic origin: a case report. Int J Surg Case Rep. 73:263-7, 2020
Cossack MT et al: Radiographic course of medically managed pediatric orbital subperiosteal abscesses. J Pediatr Ophthalmol Strabismus. 55(6):387-92, 2018
Gavriel H et al: Conservative management for subperiosteal orbital abscess in adults: a 20-year experience. Ann Otol Rhinol Laryngol. 127(3):162-6, 2018
Jabarin B et al: Indicators for imaging in periorbital cellulitis secondary to rhinosinusitis. Eur Arch Otorhinolaryngol. 275(4):943-8, 2018
Quintanilla-Dieck L et al: Characteristics of superior orbital subperiosteal abscesses in children. Laryngoscope. 127(3):735-40, 2017
Marchiano E et al: Characteristics of patients treated for orbital cellulitis: an analysis of inpatient data. Laryngoscope. 126(3):554-9, 2016
Erickson BP et al: Orbital cellulitis and subperiosteal abscess: a 5-year outcomes analysis. Orbit. 34(3):115-20, 2015
Liao JC et al: Subperiosteal abscess of the orbit: evolving pathogens and the therapeutic protocol. Ophthalmology. 122(3):639-47, 2015
Le TD et al: The effect of adding orbital computed tomography findings to the Chandler criteria for classifying pediatric orbital cellulitis in predicting which patients will require surgical intervention. J AAPOS. 18(3):271-7, 2014
Smith JM et al: Predicting the need for surgical intervention in pediatric orbital cellulitis. Am J Ophthalmol. 158(2):387-94.e1, 2014
Emmett Hurley P et al: Subperiosteal abscess of the orbit: duration of intravenous antibiotic therapy in nonsurgical cases. Ophthal Plast Reconstr Surg. 28(1):22-6, 2012
Todman MS et al: Medical management versus surgical intervention of pediatric orbital cellulitis: the importance of subperiosteal abscess volume as a new criterion. Ophthal Plast Reconstr Surg. 27(4):255-9, 2011
Migirov L et al: Endoscopic sinus surgery for medial orbital subperiosteal abscess in children. J Otolaryngol Head Neck Surg. 38(4):504-8, 2009
Sepahdari AR et al: MRI of orbital cellulitis and orbital abscess: the role of diffusion-weighted imaging. AJR Am J Roentgenol. 193(3):W244-50, 2009
Vairaktaris E et al: Orbital cellulitis, orbital subperiosteal and intraorbital abscess: report of three cases and review of the literature. J Craniomaxillofac Surg. 37(3):132-6, 2009
McIntosh D et al: Failure of contrast enhanced computed tomography scans to identify an orbital abscess. The benefit of magnetic resonance imaging. J Laryngol Otol. 122(6):639-40, 2008
Tanna N et al: Surgical treatment of subperiosteal orbital abscess. Arch Otolaryngol Head Neck Surg. 134(7):764-7, 2008
Rahbar R et al: Management of orbital subperiosteal abscess in children. Arch Otolaryngol Head Neck Surg. 127(3):281-6, 2001
Curtin HD et al: Extension to the orbit from paraorbital disease. The sinuses. Radiol Clin North Am. 36(6):1201-13, xi, 1998
Patt BS et al: Blindness resulting from orbital complications of sinusitis. Otolaryngol Head Neck Surg. 104(6):789-95, 1991
Chandler JR et al: The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 80(9):1414-28, 1970
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