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May 1991

Periorbital Hematoma Secondary to Sinusitis in a Child

Author Affiliations

From the Departments of Otolaryngology and Pediatrics, Children's National Medical Center and George Washington University, Washington, DC.

Arch Otolaryngol Head Neck Surg. 1991;117(5):557-559. doi:10.1001/archotol.1991.01870170103023

• Periorbital abscess secondary to sinusitis is a well-recognized entity in children. However, subperiosteal hematoma is extremely rare and has been reported in only four adult patients. This article presents the case of a 4-year-old girl with sinusitis, proptosis, and decreased visual acuity. Surgical exploration of the orbit revealed the presence of a large organizing subperiosteal hematoma that was drained. The presence of a periorbital hematoma should be suspected in patients with acute onset of proptosis and findings of a periorbital mass and sinusitis on computed tomographic scan.

(Arch Otolaryngol Head Neck Surg. 1991;117:557-559)

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