Journal of Maxillofacial and Oral Surgery

, Volume 18, Issue 1, pp 30–33 | Cite as

Orbital Subperiosteal Abscess Associated with Mandibular Wisdom Tooth Infection: A Case Report

  • Amel Salah EltayebEmail author
  • Musadak Ali Karrar
  • Elnour Ibrahim Elbeshir
Clinical Paper



Orbital infection related to mandibular third molar infection is extremely rare. Most of cases reported in literature are related to maxillary molar teeth. Odontogenic infections are not common causes of orbital abscess but it should always be put in consideration when dealing with orbital cellulitis and abscess.

Case presentation

This is a case of orbital abscess involving the left eye as consequence of lower left third molar infection in otherwise healthy 35-year-old black male patient. CT scan confirmed the unusual pathway of this space infection from the lower third molar and excluded any intracranial involvement. The abscess was drained immediately by intraoral incisions and the tooth was extracted. There was a dramatic improvement in a very short time with normal eye movement.


This case demonstrates one of the serious consequences of odontogenic infection which may lead to cavernous sinus thrombosis and blindness if not treated promptly.


Odontogenic infection Third molar Orbital abscess 



Computer tompgraphy


Magnetic resonance imaging


Ear nose and throat



We would like to thank all house officers in Khartoum Teaching Dental Hospital who were involved in treating this patient.

Compliance with Ethical Standards

Conflict of interest

The author(s) declare that they have no competing interests.

Informed Consent

Written informed consent was obtained from the patient for publication of this case report and accompanying images.

Ethical Approval

Ethical approval was obtained from ethics committee, Khartoum teaching dental hospital.


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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2017

Authors and Affiliations

  • Amel Salah Eltayeb
    • 1
    Email author
  • Musadak Ali Karrar
    • 2
  • Elnour Ibrahim Elbeshir
    • 3
  1. 1.Oral and Maxillofacial SurgeryNile College of Medical SciencesKhartoumSudan
  2. 2.Oral and Maxillofacial SurgeryNational University for Medical and Technical StudiesKhartoumSudan
  3. 3.Oral and Maxillofacial Surgery, Faculty of DentistryUniversity of Medical Sciences and TechnologyKhartoumSudan

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