Refractory sphenoid wing osteomyelitis as a complication of orbital decompression.

Meade, Timothy; Sindelar, Brian; Rubinstein, Daniel E

Meade, Timothy; Sindelar, Brian; Rubinstein, Daniel E.

Afiliación

Meade T; Department of Ophthalmology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Sindelar B; Department of Neurosurgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Rubinstein DE; Department of Ophthalmology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Orbit ; : 1-4, 2024 Jun 07.

Article en En | MEDLINE | ID: mdl-38848222

ABSTRACT

ABSTRACT

Osteomyelitis of the sphenoid wing is a rare clinical entity that can result in significant morbidity due to cranio-orbital infection. This entity has never previously been described as a complication of orbital decompression. An elderly patient developed relapsing orbital cellulitis and cranio-orbital abscesses following orbital decompression. Multiple attempts at incision and drainage with extended antibiotic therapy failed to eliminate the infection. The patient's clinical course was indicative of sphenoid osteomyelitis at the prior decompression site. A combined craniotomy-orbitotomy with debridement of the involved portion of the sphenoid resulted in resolution of the patient's clinical symptoms. Surgeons should be aware of the possibility of this rare infection following any surgery in which bone is structurally modified or removed, including orbital decompression.

Palabras clave

Sphenoid wing osteomyelitis; orbital decompression; thyroid eye disease

Texto completo

Añadir a Mi BVS

Imprimir

XML

PubMed Links

Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Orbit Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo

Añadir a Mi BVS

Imprimir

XML

PubMed Links

Buscar en Google