Odontogenic orbital abscess: a case report and review of literature

Oral Maxillofac Surg. 2017 Jun;21(2):271-279. doi: 10.1007/s10006-017-0618-1. Epub 2017 Mar 16.


Odontogenic orbital abscess is a rare but well-documented complication of sinusitis and infections spreading from dental apical lesion. We report a case of orbital abscess with periorbital cellulitis, in a 35-year-old man with positive recent dental history of a periapical dental infection arising from the second upper left premolar spread into maxillary sinus. The patient has shown facial edema, ocular pain, ophthalmoplegia, proptosis, and initial visual symptoms. A surgical intervention to drain the abscess and a revision of the dental lesion and maxillary sinus were required. A review of literature is also reported focusing on etiology and treatment options dealing with odontogenic orbital abscess and cellulitis.

Keywords: Cellulitis; Odontogenic abscess; Orbital abscess; Surgical drainage.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abscess / diagnosis*
  • Abscess / diagnostic imaging
  • Abscess / surgery*
  • Adult
  • Decompression, Surgical
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Orbital Cellulitis / diagnosis*
  • Orbital Cellulitis / diagnostic imaging
  • Orbital Cellulitis / surgery*
  • Periapical Periodontitis / complications*
  • Periapical Periodontitis / diagnosis*
  • Periapical Periodontitis / diagnostic imaging
  • Periapical Periodontitis / surgery
  • Tomography, X-Ray Computed