Orbital Apex Syndrome Causing Blindness Secondary to a Vertical Root Fracture of a Tooth.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
pubmed:
17
3
2020
medline:
3
10
2020
entrez:
17
3
2020
Statut:
ppublish
Résumé
The authors report a case of a 35-year-old man who presented with left maxillary toothache associated with left sided facial pain and a rapidly progressive loss of vision in the left eye. Clinical and radiological assessments revealed it to be an odontogenic orbital apex syndrome secondary to a vertical root fracture of a tooth. The infection was treated and controlled, postoperative follow-up showed no recurrent inflammation and the patient recovered well. However, the vision was lost permanently. Odontogenic orbital apex syndrome is a rare, aggressive disease. Once the infection spreads, it progresses rapidly, becoming a dangerous condition. To achieve better prognosis and improve survival rates, dental practitioners and oral surgeons should be aware of this distinct presentation and should have a high index of suspicion for the complication of tooth-related problems however minor they may seem.
Identifiants
pubmed: 32176009
doi: 10.1097/SCS.0000000000006316
pii: 00001665-202006000-00093
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Pagination
e378-e380Références
Ahmed A. Orbital apex syndrome after trauma in a 6-year-old - a rare occurrence. S Afr Med J 2017; 107:747–749.
Chang YM, Chang YH, Chien KH, et al. Orbital apex syndrome secondary to aspergilloma masquerading as a paranasal sinus tumor: a case report and literature review. Medicine (Baltimore) 2018; 97:e11650.
Sugamata A. Orbital apex syndrome associated with fractures of the inferomedial orbital wall. Clin Ophthalmol 2013; 7:475–478.
Hughes EH, Petrushkin H, Sibtain NA, et al. Tuberculous orbital apex syndromes. Brit J Ophthalmol 2008; 92:1511–1517.
Ferguson MP, McNab AA. Current treatment and outcome in orbital cellulitis. Aust NZ J Ophthalmol 1999; 27:375–379.
Caruso PA, Watkins LM, Suwansaard P, et al. Odontogenic orbital inflammation: clinical and CT findings – initial observations. Radiology 2006; 239:187–194.
e Medeiros EH, Pepato AO, Sverzut CE, et al. Orbital abscess during endodontic treatment: a case report. J Endod 2012; 38:1541–1543.
Procacci P, Zangani A, Rossetto A, et al. Odontogenic orbital abscess: a case report and review of literature. Oral Maxillofac Surg 2017; 21:271–279.
Subramaniam S, Min Tet C, Hazabbah Wan Hitam W, et al. Orbital apex syndrome after tooth extraction in an immunocompromised patient. Int J Ophthalmol 2011; 4:112–114.
Yan W, Chakrabarti R, Choong J, et al. Orbital cellulitis of odontogenic origin. Orbit 2015; 34:183–185.
Thakar M, Thakar A. Odontogenic orbital cellulitis. Report of a case and considerations on route of spread. Acta Ophthalmol Scand 1995; 73:470–471.
Varghese A, Thomas S. Orbital apex syndrome secondary to mucormycosis after a tooth extraction in an immunocompetent patient. Ear Nose Throat J 2010; 89:E24–E26.
Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope 1970; 80:1414–1428.
Zachariades N, Vairaktaris E, Mezitis M, et al. Orbital abscess: visual loss following extraction of a tooth--case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100:e70–e73.
Koch F, Breil P, Marroquín BB, et al. Abscess of the orbit arising 48 h after root canal treatment of a maxillary first molar. Int Endod J 2006; 39:657–664.
Youssef OH, Stefanyszyn MA, Bilyk JR. Odontogenic orbital cellulitis. Ophthal Plast Reconstr Surg 2008; 24:29–35.
Howe L, Jones NS. Guidelines for the management of periorbital cellulitis/abscess. Clin Otolaryngol 2004; 29:725–728.
Ferguson MP, Mc Nab AA. Current treatment and outcome in orbital cellulitis. Aust N Z J Ophthalmol 1999; 27:375–379.
Janakarajah N, Sukumaran K. Orbital cellulitis of dental origin: case report and review of the literature. Br J Oral Maxillofac Surg 1985; 23:140–145.