Medical College of Wisconsin
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Orbital cellulitis with periosteal elevation. Ophthalmic Plast Reconstr Surg 1987;3(1):1-7

Date

01/01/1987

Pubmed ID

3154568

DOI

10.1097/00002341-198701000-00001

Scopus ID

2-s2.0-0023280520 (requires institutional sign-in at Scopus site)   13 Citations

Abstract

Computerized tomography scan evidence of periosteal elevation in patients with orbital cellulitis is interpreted in the current medical literature as an indication of subperiosteal abscess. We present three such cases in which surgical drainage yielded clear fluid or granulation tissue rather than pus. A fourth case resolved on antibiotic therapy alone. Cases of periosteal elevation that resolve without surgery may represent inflammatory effusion, infections of lesser virulence, or propagation of granulation tissue rather than true abscesses. We suggest that periosteal elevation seen in patients with orbital cellulitis should represent a relative rather than an absolute indication for drainage surgery.

Author List

Lemke BN, Gonnering RS, Weinstein JM

Author

Gerald J. Harris MD Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Abscess
Cellulitis
Child
Child, Preschool
Drainage
Ethmoid Sinusitis
Female
Humans
Male
Middle Aged
Orbital Diseases
Periosteum
Tomography, X-Ray Computed