Clinical Management of Orbital Infections Associated with Odontogenic Infection and Facial Trauma-Related Sinusitis: A Report of Two Cases
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Abstract
Orbital infection is a potentially life-threatening condition that may result in permanent visual loss and intracranial complications. Although most cases are associated with paranasal sinusitis, odontogenic infection and trauma-related orbital infection are uncommon causes that present diagnostic and therapeutic challenges. This report describes the clinical management of two patients with orbital infection of different etiologies.
The first patient was a 38-year-old man from Myanmar who developed orbital infection following extraction of the right maxillary second premolar associated with maxillary sinusitis.
Computed tomography revealed a subperiosteal abscess and orbital cellulitis. The patient underwent surgical drainage combined with a Caldwell–Luc procedure. The second patient was a 25-year-old Thai man with a history of facial trauma resulting in orbital and paranasal sinus fractures. Computed tomography demonstrated orbital cellulitis and a subperiosteal abscess.
Surgical drainage was performed in conjunction with endoscopic sinus surgery and anterior ethmoidectomy. Both patients received multidisciplinary care and intravenous broad-spectrum antibiotics. Clinical outcomes were favorable, with resolution of infection, recovery of ocular motility and visual function, and no evidence of recurrent infection during follow-up.
These cases highlight the importance of identifying the primary source of infection, the role of computed tomography in defining disease extent and guiding surgical management, and the value of timely multidisciplinary intervention in preventing serious complications and preserving vision.
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บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
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