안와에 발생한 만성골수염 1예

• 영문명: A Case of Chronic Osteomyelitis of the Orbit
• 발행기관: 대한안과학회
• 저자명: 양지명 지영석 윤경철,Jee Myung Yang, MD, Yong Sok Ji, MD, Kyung Chul Yoon, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number6, 902~907쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.06.15

영문 초록

Purpose: To report a case of chronic osteomyelitis of the orbit. Case summary: A 61-year-old woman visited the ophthalmology clinic with a 3-month history of right periorbital swelling and pain. She had a history of ondontitis treated with oral antibiotics three months previously. A hard, tender, swollen mass was palpated near the right lower eyelid extending to the floor of the right orbit. Otherwise, there were no other clinically-specific ocular signs. Orbital computed tomography and bone scan findings suggested right periorbital soft tissue inflammation with underlying osteomyelitis of maxillar and zygomatic bones involving the inferior and lateral orbital walls. The patient was admitted and treated with broad spectrum systemic antibiotics. After 7 days, periorbital soft tissue swelling and pain were improved, but the size of the hard mass was unchanged. Seven days after admission, incision and drainage of the periorbital hard mass near the lower eyelid and debridement of the necrotic and pyogenic tissue were performed. Histologic examination showed chronic granulomatous inflammation and bony necrosis of the mass. The patient was discharged after receiving systemic antibiotics for 7 more days. At the 6-month follow-up, no recurrence or abnormal findings in the right periorbital region were observed. Conclusions: Chronic orbital osteomyelitis should be treated with combined systemic antibiotics and surgical intervention. J Korean Ophthalmol Soc 2014;55(6):902-907

키워드

Chronic osteomyelitis, Orbit, Periorbital mass