Orbital-intracranial Abscess After Dental Procedure (Kennerdell Case 20, PPT)

History: 20-year-old woman who developed left orbital pain and swelling with complete ptosis, erythema and mild proptosis following an infection resulting from a left lower jaw wisdom tooth extraction. The infection gained access through the retropharyngeal space to the left orbit and intracranial space. Anatomy: Orbit; Eyelid. Disease Diagnosis: Abscess. Etiology: Infection resulting from a left lower jaw wisdom tooth extraction. The infection gained access through the retropharyngeal space to the left orbit and intracranial space. Neuroimaging: CT scan showing left lateral orbit, left sub-temporalis and left intracranial abscess. Coronal scan showing the infiltration of the left superior lateral orbit with the abscess. Post-operative appearance of the area on CT scan showing eradication of the previously noted lesion. Presenting Symptom: Left orbital pain and swelling with complete ptosis, erythema and mild proptosis. Treatment: Cranio-orbitotomy and antibiotics.