Orbital Fracture Leading to Severe Multifascial Space Infection Including the Parapharyngeal Space: A Report of a Case and Review of the Literature

Craniomaxillofacial Trauma and Reconstruction

Chan Park¹  Jacob Barber¹  Curtis Cardon¹  Erica Marchiori¹ 

[1] Department of Oral and Maxillofacial Surgery, University of the Pacific, San Francisco, California

关键词: orbital trauma;    infection;    parapharyngeal space;    diabetes;   

DOI  :  10.1055/s-0034-1371974

学科分类：口腔科学

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

Orbital trauma can result in periorbital and orbital infections. Orbital infections have been classified by Chandler et al in 1970 to their anatomic location and boundaries. This case report describes a patient who developed a severe orbital infection following orbital fractures. The infection progressed to the parapharyngeal space. The patient required multiple incision and drainage surgeries and tissue debridements to have clinical resolution. To our knowledge, there has not been a case described in the literature of an orbital infection progressing to the parapharyngeal space. A literature review of orbital trauma leading to infection discusses the pathogenesis of the infections. This case demonstrates that close clinical follow-up and appropriate medical management of comorbidities that put a patient at higher risk of developing an infection is of the utmost importance in the treatment of maxillofacial trauma patients.

【 授权许可】

Unknown