open access

Vol 48, No 5 (2014)
Original research articles
Submitted: 2014-06-25
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Endoscopic drainage of orbital abscesses aided with intraoperative sonography

Tomasz Lyson, Andrzej Sieskiewicz, Robert Rutkowski, Jan Kochanowicz, Małgorzata Rozanska, Marek Rogowski, Zenon Mariak
DOI: 10.1016/j.pjnns.2014.08.001
·
Neurol Neurochir Pol 2014;48(5):315-321.

open access

Vol 48, No 5 (2014)
Original research articles
Submitted: 2014-06-25

Abstract

Background and purpose

Accurate localization and adequate visualization of the superiorly or inferiorly located subperiosteal orbital abscesses or intraorbital abscess is difficult with transnasal endoscopic approach. Sonography is a well-known and effective tool for evaluation of orbital pathologies but no paper documenting intraoperative application of this method in orbital abscess surgery has been published to date.

Material and methods

We present a series of 12 patients in whom orbital abscesses were drained endoscopically with an aid of neuronavigation and intraoperative ultrasonography. The abscesses were localized subperiosteally in the medial (n=6), superior (n=2) or inferior (n=1) part of the orbit whereas in 3 patients the abscess was localized in the intraconal space.

Results

According to intraoperative sonographic imaging complete drainage of the abscess was achieved in 11 out of 12 patients and no complications occurred. Intraoperative sonography helped to limit opening of the orbital wall in the medial subperiosteal abscesses, enabled check-up for completeness of drainage of the far extending pouches in the superior and inferior subperiosteal abscesses and enabled visualization of the tip of surgical instrument when reaching deeply located intraorbital abscesses.

Conclusions

Intraoperative ultrasonography facilitates the endoscopic management of orbital abscesses, especially those which are difficult to reach due to subperiosteal location in the superior and inferior parts of the orbit, or abscesses localized intraorbitally.

Abstract

Background and purpose

Accurate localization and adequate visualization of the superiorly or inferiorly located subperiosteal orbital abscesses or intraorbital abscess is difficult with transnasal endoscopic approach. Sonography is a well-known and effective tool for evaluation of orbital pathologies but no paper documenting intraoperative application of this method in orbital abscess surgery has been published to date.

Material and methods

We present a series of 12 patients in whom orbital abscesses were drained endoscopically with an aid of neuronavigation and intraoperative ultrasonography. The abscesses were localized subperiosteally in the medial (n=6), superior (n=2) or inferior (n=1) part of the orbit whereas in 3 patients the abscess was localized in the intraconal space.

Results

According to intraoperative sonographic imaging complete drainage of the abscess was achieved in 11 out of 12 patients and no complications occurred. Intraoperative sonography helped to limit opening of the orbital wall in the medial subperiosteal abscesses, enabled check-up for completeness of drainage of the far extending pouches in the superior and inferior subperiosteal abscesses and enabled visualization of the tip of surgical instrument when reaching deeply located intraorbital abscesses.

Conclusions

Intraoperative ultrasonography facilitates the endoscopic management of orbital abscesses, especially those which are difficult to reach due to subperiosteal location in the superior and inferior parts of the orbit, or abscesses localized intraorbitally.

Get Citation

Keywords

Orbital abscess, Surgical treatment, Endoscopy, Orbital ultrasonography

About this article
Title

Endoscopic drainage of orbital abscesses aided with intraoperative sonography

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 48, No 5 (2014)

Pages

315-321

DOI

10.1016/j.pjnns.2014.08.001

Bibliographic record

Neurol Neurochir Pol 2014;48(5):315-321.

Keywords

Orbital abscess
Surgical treatment
Endoscopy
Orbital ultrasonography

Authors

Tomasz Lyson
Andrzej Sieskiewicz
Robert Rutkowski
Jan Kochanowicz
Małgorzata Rozanska
Marek Rogowski
Zenon Mariak

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