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Subperiosteal orbital abscess (SPOA) is an uncommon but serious consequence of sinusitis, especially in the pediatric population. Historically, medical and surgical arms have been utilized in the treatment of SPOA. Below is a case report of a 14 year-old-boy with recalcitrant, superiorly based SPOA followed by a literature search and discussion.doi:10.1002/lary.22114 fatcat:mstw5gx45ffb7pgaobyopggwz4