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Post-traumatic orbital cellulitis.

D K Dhariwal1, M A Kittur, J N Farrier

  • 1Maxillofacial Unit, Morriston Hospital, Swansea NHS Trust, Wales, Swansea, UK. daljitdhariwal@hotmail.com

The British Journal of Oral & Maxillofacial Surgery
|February 11, 2003
PubMed
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Orbital cellulitis, a severe infection, can lead to vision loss or death. Prompt surgical intervention for post-traumatic cases with subperiosteal abscesses can preserve vision.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Otorhinolaryngology

Background:

  • Orbital cellulitis is an uncommon but severe infection with potentially devastating consequences.
  • It can arise from various sources, including eyelid infections, paranasal sinus infections, odontogenic infections, meningitis, and post-traumatic nasoorbital fractures.

Observation:

  • This report details two cases of severe post-traumatic orbital cellulitis presenting with subperiosteal abscesses.
  • The clinical presentation highlights the potential for rapid progression and severe complications.

Findings:

  • Surgical management of these severe post-traumatic orbital cellulitis cases with subperiosteal abscesses successfully preserved vision.
  • A multidisciplinary approach is crucial for effective management.

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Implications:

  • Early recognition and surgical intervention are vital for managing severe orbital cellulitis, particularly post-traumatic cases.
  • Understanding orbital anatomy and infection classification aids in timely and appropriate treatment.
  • Preserving vision in severe orbital infections requires prompt and coordinated care.