Periorbital Abscessing Furuncle

Olha S. Cherniaka, Ievgen I. Fesenkob more
a Olha S. Cherniak

Physician of Ultrasound Diagnostics; Head, Department of Ultrasound, Regional Diagnostic Center, Kyiv Regional Clinical Hospital, Kyiv, Ukraine

b Ievgen I. Fesenko

Physician-Stomatologist-Surgeon, Physician of Ultrasound Diagnostics, Center of Maxillofacial Surgery and Dentistry, Kyiv Regional Clinical Hospital (place of work at moment of material collection), Kyiv, Ukraine PhD, Associate Professor, Department of Oral and Maxillofacial Surgery, Private Higher Educational Establishment “Kyiv Medical University.”

January 29, 2021

J Diagn Treat Oral Maxillofac Pathol 2021;5:13–4.

Under a Creative Commons license


Cherniak OS, Fesenko II. Periorbital abscessing furuncle. J Diagn Treat Oral Maxillofac Pathol 2021;5(1):13–4.


After plucking eyebrows a 27-year-old female patient noted left eyelid swelling, redness, increasing of pain and body temperature with no visual deficits. The examination showed the presence of crust (Panel Aarrow) just below the medial part of the left eyebrow. Ultrasonography (model HD11 XE, Philips) was performed using linear transducer (frequency range: 12-3 MHz) in the supine position of the patient. Firstly, a comparative gray scale ocular ultrasound (US) of the right (Panel B) and left eye (Panel C) showed only a soft tissue hypoechoic swelling anteriorly to the left eye. Increased distance (due to edema) between skin surface and cornea is labeled by vertical line. But placing the transducer in the projection of the crust and parallel to the left eyebrow (Panel D) the gray scale US (Panel E) showed fluctuated nearly anechoic heterogenic area with ill-defined margins (indicated by ‘+’ and ‘×’ calipers) measured 1.21 × 1.06 cm. Such data suggested presence of limited purulent content. Furuncle (also known as boil) is a single hair follicle–associated bacterial infection (in 96 to 98 percent caused by Staphylococci [in 88–90 percent – by Staphylococcus aureus and in 6–10 percent – by Staphylococcus epidermidis])2 of the perifollicular tissue.1,3 Also, furuncle is named in the literature as acute purulent-necrotic inflammation of the single hair follicle and surrounding tissue.2 Abscessing (ie, fluctuating) furuncles require its drainage what was done in our case under the local anesthesia with a several days rubber drainage placement.1,2 Intramuscular ceftriaxone was prescribed (2.0 g daily) and complete recovery was noted at 7-day follow- up. Summarizing, orbital US continues to prove its efficacy in the wide variety of orbital inflammatory cases4,5 becoming a viable tool during the different stages of treatment. ■ DTJournal


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