![]() ![]() Fracture repair, if indicated, should be delayed, particularly if an alloplastic implant is used.Įxtranodal natural killer/T-cell lymphoma presenting as orbital cellulitis Surgery may be required to drain orbital abscess or in nonresolving cellulitis to drain the paranasal sinuses. Oral antibiotics given after the orbital injury may not prevent orbital cellulitis or abscess formation. Orbital cellulitis is a rare complication of orbital fracture, and seems to be more common when paranasal sinus infection preexists or occurs within several weeks of the injury. These 4 patients represent 0.8% of all cases of orbital fractures treated in the study period. One patient improved on IV antibiotics alone and underwent fracture repair at a later stage. Two developed an orbital abscess that required surgical drainage 1 patient improved after an endonasal maxillary antrostomy. All patients were treated with IV antibiotics. Sinusitis commenced 1 to 2 weeks before and as late as 5 weeks after orbital injury. Although 3 patients received prophylactic oral antibiotics after the fracture, this failed to prevent infection. All patients had evidence of paranasal sinusitis before or after the orbital injury, and 2 also reported forceful nose blowing after sustaining orbital trauma. Four patients (3 male mean age, 30 years ) were treated for orbital cellulitis complicating orbital fracture. Resolution of orbital cellulitis and surgical and imaging findings. A medical record review of clinical history, imaging studies, and surgical and treatment outcome was performed. All patients with orbital cellulitis and a history of recent orbital fracture. Retrospective, noncomparative, interventional case series. To report the incidence of orbital cellulitis after orbital blowout fracture. Orbital cellulitis: a rare complication after orbital blowout fracture.īen Simon, Guy J Bush, Steven Selva, Dinesh McNab, Alan A The purpose of this review is to describe current investigative strategies and management options in the treatment of orbital cellulitis, establish their effectiveness and possible complications due to late intervention. ![]() Currently, imaging studies for detection of orbital abcess, the use of antibiotics and early drainage have mitigated visual morbidity significantly. In the era prior to antibiotics, vision loss from orbital cellulitis was a dreaded complication. A history of upper respiratory tract infection prior to the onset is very common especially in children. It is characterized by eyelid edema, erythema, chemosis, proptosis, blurred vision, fever, headache, and double vision. The infection most commonly originates from sinuses, eyelids or face, retained foreign bodies, or distant soources by hematogenous spread. It can affect both adults and children but has a greater tendency to occur in the pediatric age group. If untreated, orbital cellulitis can be potentially sight and life threatening. Orbital cellulitis is an uncommon condition previously associated with severe complications. ![]()
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