Abstract

  Bacterial orbital cellulitis is a rare entity in adults. Very few literature mentions about bilaterality of infection. Acute bacterial sinusitis being the most common cause of Orbital cellulitis. The aim of this study is to highlight the need for early and prompt treatment to prevent ophthalmoplegia and blindness. A 36 year old male presented with bilateral eye swelling, pain, diplopia along with diminution of vision. CECT scan of paranasal sinus revealed bilateral eye axial proptosis. Patient underwent surgical drainage and Endoscopic decompression of both the orbits were done. Patient improved after surgery.

Keywords: Necrotizing Neck Fasciitis; Cervical Fasciitis; Cervicotomy; Cervical Deep Infections

References

1. Ferguson MP and McNab AA. “Current treatment and outcome in orbital cellulitis”. Australian and New Zealand Journal of Ophthalmology 27 (1999): 375-379.
2. Jackson K and Baker SR. “Clinical implications of orbital cellulitis”. Laryngoscope 96 (2009): 568-574.
3. Davis JP and Stearns MP. “Orbital complications of sinusitis: avoid delays in diagnosis”. Postgraduate Medical Journal 70 (1994): 108-110.
4. Eustis HS., et al. “Staging of orbital cellulitis in children: computerized tomography characteristics and treatment guidelines”. The Journal of Pediatric Ophthalmology and Strabismus 23 (1986): 246-251.
5. Lesser A and Stern GA. “Preseptal and orbital cellulitis”. Infectious Disease Clinics of North America 6 (1992): 933-952.
6. Chandler JR., et al. “The pathogenesis of orbital complications in acute sinusitis”. Laryngoscope 80 (1970): 1414-1428.
7. Osguthorpe JD and Hochman M. “Inflammatory sinus disease affecting the orbit”. Otolaryngologic Clinics of North America 26 (1993): 657-671.
8. Smith AF and Spencer JF. “Orbital Complications Resulting from Lesions of the Sinuses”. The Annals of Otology, Rhinology and Laryngology 57 (1948): 5-27.
9. Pandian DG., et al. “Nine years’ review on preseptal and orbital cellulitis and emergence of community-acquired methicillin-resistant Staphylococcus aureus in a tertiary hospital in India”. Indian Journal of Ophthalmology 6 (2011): 431-435.
10. N Ezhilvathani., et al. “An Orbital Cellulitis Demanding Multispeciality Management”. The Internet Journal of Ophthalmology and Visual Science1 (2009).
11. Chaha K., et al. “Management of bilateral orbital cellulitis in a 41-year-old man”. Nigerian Journal of Ophthalmology 1 (2014): 50-55.
12. Liu IT., et al. “Preseptal and Orbital Cellulitis: A 10-Year Review of Hospitalized Patients”. Journal of the Chinese Medical Association 9 (2006): 415-422.
13. Jackson K and Baker SR. “Clinical implications of orbital cellulitis”. Laryngoscope 96 (2009): 568-574.
14. Puri P and Innes JR. “Necrotising fasciitis of orbit; early recognition and treatment a key to success”. European Journal of Ophthalmology 2 (2001): 180-182.
15. Potter NJ., et al. “Orbital Cellulitis: Medical and Surgical Management”. Journal of Clinical and Experimental Ophthalmology S2 (2011): 001.
16. Slack R and Sim R. “Scott- Browns Otorhinolaryngology head and neck surgery”. Seventh edition; Edward Arnold publishers, London, UK (2008).

Citation

Citation: Manoj Jondhale. “An Endoscopic Approach to Bilateral Orbital Cellulitis - A Case Report". Acta Scientific Otolaryngology 2.12 (2020): 09-11.

Copyright

Copyright: © 2020 Manoj Jondhale. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.