Facial trauma aggravating paediatric orbital cellulitis

2020 ◽  
Vol 13 (4) ◽  
pp. e233230
Author(s):  
Juliet Laycock ◽  
Oliver James Wright ◽  
Thomas Geyton ◽  
Philippe Bowles
Keyword(s):  
Clinical Features ◽  
Surgical Approach ◽  
Orbital Cellulitis ◽  
Facial Trauma ◽  
Surgical Drainage ◽  
Subperiosteal Abscess ◽  
Satisfactory Outcome ◽  
External Incisions

We describe a case of paediatric orbital cellulitis with subperiosteal abscess following blunt facial trauma. Clinical features of orbital cellulitis developed on day 1 post-trauma. A subperiosteal collection subsequently formed lateral to the globe, causing significant ocular compromise. Surgical drainage and sinus washout were performed via external incisions, with satisfactory outcome. This case highlights how trauma may represent a non-sinogenic aggravating factor in orbital cellulitis. We describe how a subperiosteal abscess may vary depending on its aetiology, and how the surgical approach can be modified to locate and drain a laterally sited subperiosteal abscess.

Orbital Cellulitis And Subperiosteal Abscess Of Frontal Bone Complicating Unilateral Pansinusitis: A Case Report

2017 ◽  
Vol 2 (1) ◽  
pp. 49-54
Author(s):  
MA Akinola ◽  
AO Betiku ◽  
AP Adefalujo ◽  
AOA Yusuf ◽  
AO Sorungbe ◽  
...  
Keyword(s):  
Case Report ◽  
Frontal Bone ◽  
Orbital Cellulitis ◽  
Surgical Drainage ◽  
Rapid Improvement ◽  
Intravenous Antibiotic ◽  
Subperiosteal Abscess ◽  
Acute Rhinosinusitis ◽  
Life Threatening ◽  
Children And Young Adults

Objective: The aim of this report is to demonstrate that acute rhino-sinusitis may result in orbital cellulitis and even life threatening complications especially intracranial abscesses in children and young adults. Rare complications such as subperiosteal abscess seen in this patient may also occur Morbidity and mortality can be prevented through early diagnosis and treatment by relevant specialists. Method: We present a case report and literature review on unilateral pansinusitis complicated with orbital cellulitis and subperiosteal abscess of the frontal bone. Results: Following a diagnosis of orbital cellulitis and subperiosteal abscess of the frontal bone from a unilateral pansinusitis, an initial intravenous antibiotic was given for 72 hours, followed by a surgical drainage with subsequent rapid improvement. Conclusion: Acute rhinosinusitis may be complicated by orbital cellulitis and abscess formation. Prompt referral to a tertiary health facility as well as ooperation between the Ophthalmologists and Otorhinolaryngologists is very important to prevent life threatening complications. Key words: Orbital cellulitis, Pansinusitis, Subperiosteal abscess

scholarly journals A Study of Vascular Injuries in Pediatric Supracondylar Humeral Fractures

2001 ◽  
Vol 9 (2) ◽  
pp. 37-40 ◽  
Author(s):  
Ritabh Kumar ◽  
Vivek Trikha ◽  
Rajesh Malhotra
Keyword(s):  
Vascular Injury ◽  
Surgical Approach ◽  
Open Reduction Internal Fixation ◽  
Vascular Injuries ◽  
Supracondylar Fractures ◽  
Satisfactory Outcome ◽  
Vascular Compromise ◽  
Supracondylar Humeral Fractures ◽  
Aggressive Surgical Approach ◽  
Grade Iii

194 children with supracondylar fractures of the humerus were reviewed. Of the 49 children with Gartland grade III displacement, signs of vascular compromise were clinically suspected in 5 cases. Immediate open reduction, internal fixation and exploration were performed. Four children had a satisfactory outcome. One child required amputation. A careful clinical evaluation for vascular injury and an aggressive surgical approach is suggested, when indicated.

scholarly journals Orbital cellulitis complicated by subperiosteal abscess due to Streptococcus pyogenes infection

2017 ◽  
Vol 74 (2) ◽  
pp. 134-140
Author(s):  
José Daniel Ruiz Carrillo ◽  
Edwin Vázquez Guerrero ◽  
Mónica Cecilia Mercado Uribe
Keyword(s):  
Streptococcus Pyogenes ◽  
Orbital Cellulitis ◽  
Subperiosteal Abscess

scholarly journals The Role of Epilepsy Surgery in the Treatment of Childhood Epileptic Encephalopathy

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Husam R. Kayyali ◽  
Ahmed Abdelmoity ◽  
Saleh Baeesa
Keyword(s):  
Clinical Features ◽  
Developmental Disability ◽  
Epilepsy Surgery ◽  
Surgical Approach ◽  
Brain Function ◽  
Brain Lesion ◽  
Epileptic Encephalopathy ◽  
Intractable Seizures ◽  
Electroencephalogram Eeg

Children with epileptic encephalopathy often have global impairment of brain function and frequent intractable seizures, which contribute further to their developmental disability. Many of these children have identifiable brain lesion on neurological imaging. In such cases, epilepsy surgery may be considered as a treatment option despite the lack of localized epileptic pattern on electroencephalogram (EEG). In this paper, we summarize the clinical features of epileptic encephalopathy syndromes and review the reported literature on the surgical approach to some of these disorders.

Orbital cellulitis

2021 ◽  
pp. 175573802098787
Author(s):  
Rohael Iftakhar
Keyword(s):  
Risk Factors ◽  
Clinical Diagnosis ◽  
Clinical Features ◽  
Early Treatment ◽  
Soft Tissues ◽  
Orbital Cellulitis ◽  
Superficial Infection ◽  
Loss Of Vision ◽  
Life Threatening ◽  
Prompt Diagnosis

Orbital cellulitis is a significant infection that affects the ocular adnexal and associated orbital tissues. It is often a clinical diagnosis and can present as an ophthalmological emergency. The soft tissues posterior to the orbital septum are involved. Thus, the infection is deep and requires aggressive intervention compared with the more superficial infection of pre-septal cellulitis. Failure of prompt diagnosis and early treatment can lead to loss of vision and can be potentially life-threatening. The article discusses the clinical features, risk factors and management of orbital cellulitis. It provides an overview of the important differentials to consider and resultant complications that can occur.

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