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Recurrent unilateral periorbital cellulitis in a pediatric patient--an anatomic abnormality

Kris R Jatana1, Jonathan M Grischkan, Matthew J Skomorowski

  • 1Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA. kris.jatana@osumc.edu

International Journal of Pediatric Otorhinolaryngology
|August 16, 2008
PubMed

Insights

Recurrent periorbital cellulitis (POC) in children may signal underlying sinus issues. Early endoscopic sinus surgery can resolve these infections, preventing further hospitalizations.

Area of Science:

  • Otolaryngology
  • Pediatric Ophthalmology

Background:

  • Recurrent periorbital cellulitis (POC) can be challenging to manage in pediatric patients.
  • Identifying the underlying cause is crucial for effective treatment and prevention of complications.

Observation:

  • A 2-year-old male experienced 7 episodes of right-sided POC, with 5 requiring hospitalization and IV antibiotics.
  • Imaging revealed a dehiscence in the lamina papyracea, suggesting a link to sinus anatomy.

Findings:

  • Endoscopic sinus surgery identified an abnormal uncinate process fused to the lateral nasal wall and ethmoid bulla.
  • Post-operative intervention resulted in complete resolution of POC episodes.

Implications:

  • Nasal endoscopy and high-resolution imaging are valuable tools for diagnosing pediatric POC.
  • Early surgical intervention for identified sinus abnormalities can prevent recurrent infections and hospitalizations.

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