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

Abstract

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.

Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts

“…Unfortunately, this is hard to solve by a simple repositioning of the orbital walls and floor; therefore, further studies on feasibility with the aid of various implants are needed. Note that one of the adverse factors of midface reconstruction is highly virulent flora influencing the operating wound, which trigger the inflammation process in the implantation zone [5]. In addition, the subcranial region is an area of increased functional activity [6].…”