Case ReportIntraorbital abscess: A rare complication after maxillary molar extraction
Section snippets
CASE REPORT
A 20-year-old man complained of massive swelling and redness in the area of his right eye. The swelling and redness had worsened over the previous two days and become critical in the past few hours (Figure 1). The reason he came to the University Clinic for Reconstructive Surgery (Department of Cranio- and Maxillofacial Surgery, University Hospital, Basle, Switzerland) was that he was experiencing a progressive deterioration of vision in his right eye. Clinically, we observed a swollen,
DISCUSSION
The cause and diagnosis of serious odontogenic infections and their tendency to spread has been described extensively in the literature.6, 7, 8 The anatomical proximity of the root apexes to the surrounding soft tissues favors pathogen transmission into the periodontal ligament,9 since pathogens will take the path of least resistance.10 Dental infections that spread beyond the tooth socket can initiate an infection in adjacent muscles and in connective tissue structures. According to this
CONCLUSIONS
A severe and sometimes life-threatening infection with abscess formation in surrounding tissue structures can occur if a tooth extraction is performed when the patient is in the acute stage of a maxillary sinus infection. Therefore, it is essential that general dentists be aware of the possible ways odontogenous infections can spread and that they know how to manage such complications in the case of emergency.
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Cited by (24)
Retrobulbar abscess: rare complication after repair of an oroantral communication
2018, British Journal of Oral and Maxillofacial SurgeryCitation Excerpt :It is a rare emergency that could lead to loss of vision, and has been associated with retrobulbar haemorrhage after injury to, or operation on, the globe. Although orbital abscesses have been reported in relation to chronic paranasal sinusitis,5 facial injury,6 odontogenic infections,7 and after dental extractions,8 there are, to the best of our knowledge, no previously reported cases secondary to repair of an oroantral communication. This case highlights the importance of early clinical and radiological assessment to facilitate urgent surgical decompression and prevent the risk of blindness.
Orbital abscess during endodontic treatment: A case report
2012, Journal of EndodonticsImaging Studies for Head and Neck Infections
2007, Infectious Disease Clinics of North AmericaCitation Excerpt :Extension of infection from maxillary dentition may involve the maxillary antra, presenting with sinusitis, or the parotid gland, with associated painful mass. Orbital involvement has been reported through various routes, including maxillary sinus, premalar soft tissues, pterygopalatine fossa, inferior orbital fissure, or facial, angular, and ophthalmic veins [24]. The infected tooth usually requires extraction to achieve resolution, and its recognition may be delayed without an early CT examination [25].
Odontogenic orbital cellulitis: Literature review
2024, Journal of Oral Medicine and Oral SurgeryEtiology and Pathophysiological Pathways of Ocular Complications Associated with Local Dental Anesthesia and Odontogenic Infections: A Systematic Review
2022, Journal of Maxillofacial and Oral Surgery
- 1
Dr. Stübinger is a dentist, University Clinic for Reconstructive Surgery, Department of Cranio- and Maxillofacial Surgery, University Hospital, Spitalstr. 21, CH-4031 Basle, Switzerland
- 2
Dr. Leiggener is an oral and maxillofacial surgeon, University Clinic for Reconstructive Surgery, Department of Cranio- and Maxillofacial Surgery, University Hospital, Basle, Switzerland.
- 3
Dr. Sader is an oral and maxillofacial surgeon, University Clinic for Reconstructive Surgery, Department of Cranio- and Maxillofacial Surgery, University Hospital, Basle, Switzerland.
- 4
Dr. Kunz is an oral and maxillofacial surgeon, University Clinic for Reconstructive Surgery, Department of Cranio- and Maxillofacial Surgery, University Hospital, Basle, Switzerland.