Orbital Abscess Drainage Using Intravenous Cannula: Technique and Advantages

Main Article Content

Rachid Zerrouk
Adil Elkhoyaali
Wafae Akioud
Mehdi Khmamouche
Fouad Elasri
Karim Reda
Abdelbarre Oubaaz

Abstract

The orbital infections are known to be the most frequent primitive orbital pathology.

Rhinosinusitis (RS) is the most common cause of orbital inflammation and infection, especially in the pediatric range. So far, the main orbital complication of RS is the preseptal cellulitis. The dissemination of the infection in the orbital retroseptal area may occur and is considered to be a serious complication requiring urgent diagnosis and treatment. It is usually seen as an orbital (OSPA) subperiosteal abscess adjacent to the infected sinus. The diagnosis of an OSPA is based on clinical evaluation as well as X-ray imaging. The CT scan is the preferred imaging modality for orbital abscess diagnosis.  In most cases of OSPA, the surgery is often indicated and can be conducted by an external method, transnasal endoscopy or a combined method.   In this article, we describe the technique of external drainage using an intravenous cannula (case report of 10 patients) as well as the results obtained.

Keywords:
Orbital abscess, drainage, cannula, orbital surgery, ocular infection, technique.

Article Details

How to Cite
Zerrouk, R., Elkhoyaali, A., Akioud, W., Khmamouche, M., Elasri, F., Reda, K., & Oubaaz, A. (2019). Orbital Abscess Drainage Using Intravenous Cannula: Technique and Advantages. Ophthalmology Research: An International Journal, 10(4), 1-7. https://doi.org/10.9734/or/2019/v10i430113
Section
Original Research Article

References

Vairaktaris E, Moschos M, Vassilou S, Baltaizis S, Kalimeras E, Avgoustidis D, Pappas Z, moschos MN. Orbital cellulitis, orbital subperiosteal and intraorbital abscess. Report of three cases and review of the literature Journal of Cranio-Maxillofacial Surgery. 2009;37:132e136

Hershey BL, Roth TC. Orbital infections. Semin Ultrasound CTMR. 1997;18:448-59.

Rumelt S, Rubin PA. Potential sources for orbital cellulitis. Int Ophthalmol Clin. 1996; 36:207-21.

Palamar M, Uretmen O, Kose S. Orbital cellulitis after strabismus surgery. J AAPOS. 2005;9:602-3.

Infections Orbitaires F. Mouriaux, B. Rysanek, V. Cattoir, E. Babin EMC 21-650-A-15.

Mandava P, Chaljub G, Patterson K, Hollingsworth JW. MR imaging of cavernous sinus invasion by mucormycosis: A case Study. Clin Neurol Neurosurg. 2001;103:101-4.

Ferguson MP, McNab AA. Current treatment and outcome in orbital cellulitis. Aust NZJ Ophthalmol. 1999;27:375e379.

Harris GJ. Subperiosteal abscess of the orbit: Older children and adults require aggressive treatment. Ophthal Plast Reconstr Surg. 2001;17:395e397.

Ikeda K, Oshima T, Suzuki H, Kikuchi T, Suzuki M, Kobayashi T. Surgical treatment of subperiosteal abscess of the orbit: Sendai’s ten-year experience. Auris Nasus Larynx. 2003;30:259e262.

McKinley SH, Yen MT, Miller AM, Yen KG. Microbiology of pediatric orbital cellulitis. Am J Ophthalmol. 2007;144:497e501.

Nageswaran S, Woods CR, Benjamin DK, Givner LB, Shetty AK. Orbital cellulitis in children. Pediatr Infect Dis J. 2006;25: 695e699

Oxford LE, McClay J. Medical and surgical management of subperiosteal orbital abscess secondary to acute sinusitis in children. Int J Pediatr Otorhinolaryngol. 2006;70:1853e1861

Chaudhry IA, Shamsi FA, Elzaridi E, Al-Rashed W, Al-Amri A, Al- Anezi F, Arat YO. Outcome of treated orbital cellulitis in a tertiary eye care center in the middle East. Ophthalmology. 2007;114:345e354

Herrmann WB, Forsen Jr WJ. Simultaneous intracranial and orbital complications of acute rhino sinusitis in children. Intern J of Ped Otorhinolaryngo-logy. 2004;68(5):619-25.

[PubMed | Google Scholar]

Starkey CR, Steele WR. Medical management of orbital cellulitis. The pediatric infectious disease Journal. 2001; 20(10):1002-1005.

[PubMed | Google Scholar]

Watkins ML, Pasternack SM, Banks M, Kousoubris P, Rubin ADP. Bilateral cavernous sinus thromboses and intraorbital abscesses secondary to Streptoccus milleri. Ophtalmology. 2003; 110(3):569-574.
[PubMed | Google Scholar]

Younis RT, Anand VK, Davidson B. The role of computed tomography and magnetic resonance imaging in patients with sinusitis with complications. Laryngoscope. 2002;112:224e229.

Schwartz G. Etiology, diagnosis, and treatment of orbital infections. Curr Infect Dis Rep. 2002;4:201-5.

Rubin SE, Rubin LG, Zito J, Goldstein MN, Eng C. Medical management of orbital subperiostal abscess in children. J Pediatr Ophthalmol Strabismus. 1989;26:21-7.

Ryan JT, Preciado DA, Bauman N, Pena M, Bose S, Zalzal GH, et al. Management of pediatric orbital cellulitis in patients with radiographic findings of subperiosteal abscess. Otolaryngol Head Neck Surg 2009;140:907-11.

Catalano RA, Smoot CN. Subperiosteal orbital masses in children with orbital cellulitis: Time for a reevaluation? J Pediatr Ophthalmol Strabismus. 1990;27: 141-2.

Garcia GH, Harris GJ. Criteria for nonsurgical management of subperiosteal abscess of the orbit: Analysis of outcomes 1988-1998. Ophthalmology. 2000;107: 1454-6 (discussion 7-8).

Triglia JN. Les sinusites et leurs complications. Paris: Flammarion; 2006.

Harris GJ. Subperiostal abscess of the orbit. Age as a factor in the bacteriology and response to treatment. Ophthalmology 1994;101:585-95.

Greenberg MF, Pollard ZF. Medical treatment of pediatric subperiostal orbital abscess secondary to sinusitis. J AAPOS. 1998;2:351-5.

Froehlich P, Pransky SM, Fontaine P, Stearns G, Morgon A. Minimal endoscopic approach to subperiosteal orbital abscess. Arch Otolaryngol Head Neck Surg. 1997; 123:280-2.

Bhargava D, Sankhla D, Ganesan A, Chand P. Endoscopic sinus surgery for orbital subperiosteal abscess secondary to sinusitis. Rhinology. 2001;39:151-5.

Kabré Abel, Diallo Ousseini, Cissé Rabiou. Abcès intra orbitaires: A propos de deux cas. African Journal of Neurological Sciences AJNS. 2008;27(1).