Medical College of Wisconsin
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Subperiosteal inflammation of the orbit. A bacteriological analysis of 17 cases. Arch Ophthalmol 1988 Jul;106(7):947-52

Date

07/01/1988

Pubmed ID

3390060

DOI

10.1001/archopht.1988.01060140093032

Scopus ID

2-s2.0-0023718627 (requires institutional sign-in at Scopus site)   34 Citations

Abstract

Seventeen cases of subperiosteal inflammation of the orbit secondary to sinusitis were analyzed from a bacteriological perspective. The recovered pathogens ranged from single aerobes to mixed aerobes and anaerobes. The bacteriology was not related to the duration of symptoms of sinusitis. Three cases with the diagnostic criteria for subperiosteal inflammation resolved with antibiotics alone. The most refractory infections had the most complex bacterial constituencies and persisted despite in vitro antibiotic susceptibility of individual organisms. In these cases, local physical conditions may be drastically altered in favor of the bacteria. Ventilation of the subperiosteal space and sinuses by surgical drainage can help to normalize the milieu in favor of the host.

Author List

Harris GJ

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

Anti-Bacterial Agents
Bacteria
Bacterial Infections
Drainage
Humans
Inflammation
Orbital Diseases
Periapical Abscess
Periosteum
Sinusitis
Suppuration
Tomography, X-Ray Computed