Effective Second-Stage Surgery for Intraorbital Abscess Caused by Inverted Papilloma: A Case Report

An intraorbital abscess is an urgent condition that can cause visual impairment and intracranial complications. Here, we reported an intraorbital abscess caused by a frontal sinus inverted papilloma. If an infection from a nasal or paranasal sinus tumor is suspected, treatment strategies vary depending on whether the tumor is benign or malignant. Additionally, if emergency drainage is required, an extra nasal or an intranasal approach or a combination of both is selected depending on the localization and extent of the abscess. In the present case, we first performed emergency surgery using a combination of extra nasal and intranasal approaches to improve visual function, drainage, and diagnosis. After the definitive diagnosis, we were able to control both diseases through a two-stage treatment, including surgery for radical treatment. Given the effectiveness of the two-stage treatment, it could be considered for managing intraorbital abscesses.

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Journal
Cureus
Published
2025-03-25
DOI
https://doi.org/10.7759/cureus.81148
Primary Topic
Sinusitis and nasal conditions
Type
article
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0.00
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article

Effective Second-Stage Surgery for Intraorbital Abscess Caused by Inverted Papilloma: A Case Report

Masanori Yatomi, Haruka Nishimura, Kiyoaki Tsukahara, Ryo Maruyama et al.
Cureus
Sinusitis and nasal conditions
article

Effective Second-Stage Surgery for Intraorbital Abscess Caused by Inverted Papilloma: A Case Report

Masanori Yatomi, Haruka Nishimura, Kiyoaki Tsukahara, Ryo Maruyama, Risa Tagaya
article en

Abstract

An intraorbital abscess is an urgent condition that can cause visual impairment and intracranial complications. Here, we reported an intraorbital abscess caused by a frontal sinus inverted papilloma. If an infection from a nasal or paranasal sinus tumor is suspected, treatment strategies vary depending on whether the tumor is benign or malignant. Additionally, if emergency drainage is required, an extra nasal or an intranasal approach or a combination of both is selected depending on the localization and extent of the abscess. In the present case, we first performed emergency surgery using a combination of extra nasal and intranasal approaches to improve visual function, drainage, and diagnosis. After the definitive diagnosis, we were able to control both diseases through a two-stage treatment, including surgery for radical treatment. Given the effectiveness of the two-stage treatment, it could be considered for managing intraorbital abscesses.

CureusVol. 17(3)
Tokyo Medical University (JP)
Zero hunger
Openalex Percentile: Top 93%
Sinusitis and nasal conditions
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