{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T19:48:02Z","timestamp":1793908082320,"version":"4.8.0"},"reference-count":20,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,8]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>A 32-year-old female patient presented with severe facial pain, right eye proptosis and diplopia. Endoscopy revealed ipsilateral crusting, purulent discharge and bilateral nasal polyps. Imaging demonstrated a subperiosteal abscess on the roof of the right orbit. Due to patient\u2019s significant ocular manifestations, surgical management was decided. The abscess was drained using combined endoscopic and external approach, via a Lynch-Howarth incision. Following rapid postoperative improvement, patient\u2019s regular follow-up remains uneventful. A subperiosteal orbital abscess is a severe complication of rhinosinusitis that can ultimately endanger a patient\u2019s vision. It is most commonly located on the medial orbital wall, resulting from direct spread of infection from the ethmoid cells. The rather uncommon superiorly based subperiosteal abscess occurs superiorly to the frontoethmoidal suture line, with frontal sinusitis being its main cause. Treating it solely endoscopically is more challenging than in medial wall abscesses, and a combined approach is often necessary.<\/jats:p>","DOI":"10.1136\/bcr-2020-239861","type":"journal-article","created":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T11:10:10Z","timestamp":1613646610000},"page":"e239861","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Superiorly based subperiosteal orbital abscess: an uncommon presentation"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6734-0542","authenticated-orcid":false,"given":"Georgios","family":"Chrysovitsiotis","sequence":"first","affiliation":[{"name":"1st Otorhinolaryngology Dpt, National and Kapodistrian University of Athens School of Medicine, Athens, Attiki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paraskevi","family":"Kollia","sequence":"additional","affiliation":[{"name":"1st Otorhinolaryngology Dpt, National and Kapodistrian University of Athens School of Medicine, Athens, Attiki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efthymios","family":"Kyrodimos","sequence":"additional","affiliation":[{"name":"1st Otorhinolaryngology Dpt, National and Kapodistrian University of Athens School of Medicine, Athens, Attiki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aristeidis","family":"Chrysovergis","sequence":"additional","affiliation":[{"name":"ENT, National and Kapodistrian University of Athens School of Medicine, Athens, Attica, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,2,18]]},"reference":[{"key":"2025082708040085000_14.2.e239861.1","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.ijporl.2016.04.016","article-title":"Orbital complications associated with paranasal sinus infections \u2013 a 10-year experience in Israel","volume":"86","author":"Segal","year":"2016","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"2025082708040085000_14.2.e239861.2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197009000-00007"},{"key":"2025082708040085000_14.2.e239861.3","first-page":"1","article-title":"The acute orbit. Preseptal (periorbital) cellulitis, subperiosteal abscess and orbital cellulitis due to sinusitis","volume":"12","author":"Moloney","year":"1987","journal-title":"J LaryngolOtol Suppl"},{"key":"2025082708040085000_14.2.e239861.4","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900030054006"},{"key":"2025082708040085000_14.2.e239861.5","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.ijporl.2017.02.031","article-title":"Management of orbital cellulitis and subperiosteal orbital abscess in pediatric patients: a ten-year review","volume":"96","author":"Sciarretta","year":"2017","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"2025082708040085000_14.2.e239861.6","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1097\/IOP.0b013e31822ddddc","article-title":"Subperiosteal abscess of the orbit: duration of intravenous antibiotic therapy in nonsurgical cases","volume":"28","author":"Emmett Hurley","year":"2012","journal-title":"Ophthalmic PlastReconstr Surg"},{"key":"2025082708040085000_14.2.e239861.7","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/j.1442-9071.1991.tb01796.x","article-title":"Subperiosteal abscesses of the orbit due to sinusitis in childhood","volume":"19","author":"Williams","year":"1991","journal-title":"Aust N Z J Ophthalmol"},{"key":"2025082708040085000_14.2.e239861.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(99)00019-1"},{"key":"2025082708040085000_14.2.e239861.9","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181e1b50d"},{"key":"2025082708040085000_14.2.e239861.10","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1007\/s00405-012-2198-x","article-title":"Approaches to subperiosteal orbital abscesses","volume":"270","author":"Ketenci","year":"2013","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"2025082708040085000_14.2.e239861.11","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s00405-015-3557-1","article-title":"Management of superior subperiosteal orbital abscess","volume":"273","author":"Gavriel","year":"2016","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"2025082708040085000_14.2.e239861.12","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1097\/IOP.0b013e31821b6d79","article-title":"Orbital cellulitis with subperiosteal abscess: demographics and management outcomes","volume":"27","author":"Dewan","year":"2011","journal-title":"Ophthalmic PlastReconstr Surg"},{"key":"2025082708040085000_14.2.e239861.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(00)00242-6"},{"key":"2025082708040085000_14.2.e239861.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.02.014"},{"key":"2025082708040085000_14.2.e239861.15","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1097\/IOP.0b013e3182082b17","article-title":"Medical management versus surgical intervention of pediatric orbital cellulitis: the importance of subperiosteal abscess volume as a new criterion","volume":"27","author":"Todman","year":"2011","journal-title":"Ophthalmic PlastReconstr Surg"},{"key":"2025082708040085000_14.2.e239861.16","doi-asserted-by":"crossref","first-page":"2337","DOI":"10.1002\/lary.24014","article-title":"Medical versus surgical management of pediatric orbital subperiosteal abscesses","volume":"19","author":"Bedwell","year":"2013","journal-title":"Laryngoscope"},{"key":"2025082708040085000_14.2.e239861.17","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.3.281"},{"key":"2025082708040085000_14.2.e239861.18","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1002\/lary.26082","article-title":"Characteristics of superior orbital subperiosteal abscesses in children","volume":"127","author":"Quintanilla-Dieck","year":"2017","journal-title":"Laryngoscope"},{"key":"2025082708040085000_14.2.e239861.19","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1097\/MLG.0b013e31814cf39d","article-title":"Endoscopic drainage of a superiorly based subperiosteal orbital abscess","volume":"118","author":"Roithmann","year":"2008","journal-title":"Laryngoscope"},{"key":"2025082708040085000_14.2.e239861.20","doi-asserted-by":"crossref","first-page":"e26","DOI":"10.1016\/j.bjoms.2015.12.003","article-title":"Image-Guided nasal endoscopic drainage of an orbital superior subperiosteal abscess","volume":"54","author":"Kim","year":"2016","journal-title":"Br J Oral Maxillofac Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239861","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:04:08Z","timestamp":1756307048000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239861"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":20,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,2,18]]},"published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1136\/bcr-2020-239861"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239861","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2]]}}}