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Orbital Subperiosteal Abscess
H. Christian Davidson, MD
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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

                                                1. Marchiano E et al: Characteristics of patients treated for orbital cellulitis: an analysis of inpatient data. Laryngoscope. 126(3):554-9, 2016
                                                2. Quintanilla-Dieck L et al: Characteristics of superior orbital subperiosteal abscesses in children. Laryngoscope. ePub, 2016
                                                3. Erickson BP et al: Orbital cellulitis and subperiosteal abscess: a 5-year outcomes analysis. Orbit. 34(3):115-20, 2015
                                                4. Liao JC et al: Subperiosteal abscess of the orbit: evolving pathogens and the therapeutic protocol. Ophthalmology. 122(3):639-47, 2015
                                                5. 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
                                                6. Smith JM et al: Predicting the need for surgical intervention in pediatric orbital cellulitis. Am J Ophthalmol. 158(2):387-394.e1, 2014
                                                7. 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
                                                8. 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
                                                9. Migirov L et al: Endoscopic sinus surgery for medial orbital subperiosteal abscess in children. J Otolaryngol Head Neck Surg. 38(4):504-8, 2009
                                                10. 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
                                                11. 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
                                                12. 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
                                                13. Tanna N et al: Surgical treatment of subperiosteal orbital abscess. Arch Otolaryngol Head Neck Surg. 134(7):764-7, 2008
                                                14. Rahbar R et al: Management of orbital subperiosteal abscess in children. Arch Otolaryngol Head Neck Surg. 127(3):281-6, 2001
                                                15. Curtin HD et al: Extension to the orbit from paraorbital disease. The sinuses. Radiol Clin North Am. 36(6):1201-13, xi, 1998
                                                16. Patt BS et al: Blindness resulting from orbital complications of sinusitis. Otolaryngol Head Neck Surg. 104(6):789-95, 1991
                                                17. 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

                                                                                              1. Marchiano E et al: Characteristics of patients treated for orbital cellulitis: an analysis of inpatient data. Laryngoscope. 126(3):554-9, 2016
                                                                                              2. Quintanilla-Dieck L et al: Characteristics of superior orbital subperiosteal abscesses in children. Laryngoscope. ePub, 2016
                                                                                              3. Erickson BP et al: Orbital cellulitis and subperiosteal abscess: a 5-year outcomes analysis. Orbit. 34(3):115-20, 2015
                                                                                              4. Liao JC et al: Subperiosteal abscess of the orbit: evolving pathogens and the therapeutic protocol. Ophthalmology. 122(3):639-47, 2015
                                                                                              5. 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
                                                                                              6. Smith JM et al: Predicting the need for surgical intervention in pediatric orbital cellulitis. Am J Ophthalmol. 158(2):387-394.e1, 2014
                                                                                              7. 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
                                                                                              8. 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
                                                                                              9. Migirov L et al: Endoscopic sinus surgery for medial orbital subperiosteal abscess in children. J Otolaryngol Head Neck Surg. 38(4):504-8, 2009
                                                                                              10. 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
                                                                                              11. 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
                                                                                              12. 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
                                                                                              13. Tanna N et al: Surgical treatment of subperiosteal orbital abscess. Arch Otolaryngol Head Neck Surg. 134(7):764-7, 2008
                                                                                              14. Rahbar R et al: Management of orbital subperiosteal abscess in children. Arch Otolaryngol Head Neck Surg. 127(3):281-6, 2001
                                                                                              15. Curtin HD et al: Extension to the orbit from paraorbital disease. The sinuses. Radiol Clin North Am. 36(6):1201-13, xi, 1998
                                                                                              16. Patt BS et al: Blindness resulting from orbital complications of sinusitis. Otolaryngol Head Neck Surg. 104(6):789-95, 1991
                                                                                              17. Chandler JR et al: The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 80(9):1414-28, 1970