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Orbital Subperiosteal Abscess Associated with Mandibular Wisdom Tooth Infection: A Case Report

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Abstract

Background

Orbital infection related to mandibular third molar infection is extremely rare. Most of cases reported in literature are related to maxillary molar teeth. Odontogenic infections are not common causes of orbital abscess but it should always be put in consideration when dealing with orbital cellulitis and abscess.

Case presentation

This is a case of orbital abscess involving the left eye as consequence of lower left third molar infection in otherwise healthy 35-year-old black male patient. CT scan confirmed the unusual pathway of this space infection from the lower third molar and excluded any intracranial involvement. The abscess was drained immediately by intraoral incisions and the tooth was extracted. There was a dramatic improvement in a very short time with normal eye movement.

Conclusion

This case demonstrates one of the serious consequences of odontogenic infection which may lead to cavernous sinus thrombosis and blindness if not treated promptly.

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Abbreviations

CT:

Computer tompgraphy

MRI:

Magnetic resonance imaging

ENT:

Ear nose and throat

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Acknowledgements

We would like to thank all house officers in Khartoum Teaching Dental Hospital who were involved in treating this patient.

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Authors and Affiliations

  1. Oral and Maxillofacial Surgery, Nile College of Medical Sciences, Khartoum, Sudan

    Amel Salah Eltayeb

  2. Oral and Maxillofacial Surgery, National University for Medical and Technical Studies, Khartoum, Sudan

    Musadak Ali Karrar

  3. Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Medical Sciences and Technology, Khartoum, Sudan

    Elnour Ibrahim Elbeshir

Authors
  1. Amel Salah Eltayeb
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  2. Musadak Ali Karrar
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  3. Elnour Ibrahim Elbeshir
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Corresponding author

Correspondence to Amel Salah Eltayeb.

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Conflict of interest

The author(s) declare that they have no competing interests.

Informed Consent

Written informed consent was obtained from the patient for publication of this case report and accompanying images.

Ethical Approval

Ethical approval was obtained from ethics committee, Khartoum teaching dental hospital.

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Eltayeb, A.S., Karrar, M.A. & Elbeshir, E.I. Orbital Subperiosteal Abscess Associated with Mandibular Wisdom Tooth Infection: A Case Report. J. Maxillofac. Oral Surg. 18, 30–33 (2019). https://doi.org/10.1007/s12663-017-1074-z

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  • DOI: https://doi.org/10.1007/s12663-017-1074-z

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