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Related to periorbita: palpebral ligaments, Orbital septum, Wydase
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As the right medial periorbita was opened, a tense, thin-walled, fluid-filled mass that measured approximately 8 x 12 mm herniated into the ethmoid sinus.
The craniotomy begins with the keyhole, that is medial to the frontozygomatic suture and exposes the dura mater of the anterior fossa superiorly and the periorbita inferiorly separated by the orbital roof.
Complicated ABRS arises due to local extension and spread to the CNS (meningitis, intracerebral/epidural abscesses), orbit (orbital cellulitis) and periorbita (periorbital abscess, osteitis).