Subperiosteal hematoma of the orbit associated with sinusitis

Korean J Ophthalmol. 1997 Dec;11(2):118-22. doi: 10.3341/kjo.1997.11.2.118.


Subperiosteal hematoma of the orbit is a rare but well-recognized entity, usually caused by trauma. Two cases of subperiosteal hematoma associated with sinusitis are presented. A 44-year-old woman experienced the sudden onset of proptosis, and decreased visual acuity. Computed tomographic scanning and magnetic resonance imaging revealed a frontoethmoidal mucocele and a biconvex mass in the upper part of the left orbit. The mucocele was drained during nasal endoscopic surgery and the subperiosteal hematoma was evacuated during superior orbitotomy. A 42-year-old man had a headache and proptosis. Computed tomographic scan revealed sinusitis and subperiosteal orbital hematoma of the left orbit. Subperiosteal orbital hematoma associated with sinusitis is extremely rare but should be suspected in a patient with acute onset of proptosis in whom computed tomographic scanning reveals paranasal sinusitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Ethmoid Sinus
  • Exophthalmos / etiology
  • Female
  • Follow-Up Studies
  • Frontal Sinus
  • Hematoma / diagnosis
  • Hematoma / etiology*
  • Hematoma / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Mucocele / complications
  • Mucocele / diagnosis
  • Mucocele / surgery
  • Orbital Diseases / diagnosis
  • Orbital Diseases / etiology*
  • Orbital Diseases / surgery
  • Periosteum
  • Sinusitis / complications*
  • Sinusitis / diagnosis
  • Sinusitis / surgery
  • Tomography, X-Ray Computed