Orbital Cellulitis: Defining Multidisciplinary Approach as the Need of the Hour

Gupta, Surendra Kumar; Sharma, Shivam

doi:10.1007/s12070-019-01632-y

Cited by 6 publications

(9 citation statements)

References 11 publications

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“…Owing to its invasive nature, it can invade and spread from the nose and sinuses to several adjacent critical structures such the orbit, brain, palate and gingiva and spread far away also via the pterygopalatine and infratemporal fossae leading to various complications such as loss of vision, palatal ulceration, facial pain and swelling, orbital cellulitis and brain infarction [18]. All these complications can result very quickly and may happen in a matter of days and may require multidisciplinary management from the very beginning [19]. Management includes prompt diagnosis based on imaging and fungal staining followed by surgical debridement and appropriate antifungal therapy [20].…”

Section: Discussionmentioning

confidence: 99%

Sublabial Approach Versus Modified Denker’s Procedure: A Comparative Study of Pre-maxillary Tissue Clearance in Covid-Associated Mucormycosis

Sharma

Singh

et al. 2022

Indian J Otolaryngol Head Neck Surg

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To compare the efficacy of the sublabial and modified Denker's procedure in clearance of fungal disease from the anterior wall of maxilla and the pre-maxillary area i.e. the difficult areas of maxillary sinus. A prospective observational study was conducted over a period of 2 months (April 21-June 21) in the ENT department of Sawai Man Singh hospital, Jaipur. All the patients with clinical involvement of the premaxilla or the cheek abutting the anterior wall of maxilla were included in the study population. Cases matched in both groups were subjected to debridement either by the sublabial or the modified denker's approach. Outcomes were measured by assessing the daily CRP values, post-operative DNE every 3 days after pack removal, and imaging at the end of 1 month. Repeat biopsies were performed in patients that still had persistent symptoms after getting operated on. 16 of the 60 patients (26.6%) operated on by the endoscopic approach showed evidence of residual disease on follow-up whereas only 5 patients (9.6%) in the other category had a similar outcome. Most of the recidivism was seen in the anterior maxilla. Lower rates of complications were found following debridement by the sublabial approach. Since the sublabial approach is the most direct approach for the key areas of fungal involvement of maxillary sinus, it is recommended over the modified Denker's procedure for disease clearance from pre maxilla and the anterior wall of maxillary sinus. This view is also supported by the lower rates of complications encountered following the former.

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Section: Discussionmentioning

confidence: 99%

Sublabial Approach Versus Modified Denker’s Procedure: A Comparative Study of Pre-maxillary Tissue Clearance in Covid-Associated Mucormycosis

Sharma

Singh

et al. 2022

Indian J Otolaryngol Head Neck Surg

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“…Preseptal cellulitis can spread posteriorly to the septum if left untreated. Prompt initiated antibiotic therapy and monitoring for signs of sepsis can achieve to prevent complications and spread of infection [7][8][9][10].…”

Section: Preseptal (Periorbital) Cellulitismentioning

confidence: 99%

“…For ruling out the diagnosis of orbital cellulitis, CT should be performed. Radiological imaging methods take a crucial role in identifying the orbital infection size and complications and determining the most proper procedure in the treatment [1,2,9,16]. Magnetic resonance imaging is beneficial for the diagnosis of abscesses but it is generally insufficient for bone tissue.…”

Section: Preseptal (Periorbital) Cellulitismentioning

confidence: 99%

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Preseptal Cellulitis and Other Facial Skin Infections in Children

Kocabaş

Çıftçı

Tenenbaum

2021

Pediatric ENT Infections

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“…It is seen more frequently in children compared with adults, 1 and most commonly presents with swelling of the eye, limited eye movements, and loss in visual acuity and color vision. 2 While it can often be managed conservatively through the use of broad-spectrum antibiotics, the development of a subperiosteal or orbital abscess is likely to require surgical intervention. 3 In cases secondary to sinusitis, the frontal bone can be affected due to a direct extension of a frontal infection.…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Orbital Cellulitis with Progressive Calvarial Osteomyelitis

Kotwal

Goh

Bhargava

et al. 2021

Global Pediatric Health

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Orbital cellulitis is a potentially sight and life-threatening complication of acute sinusitis, and the association with osteomyelitis is rare in the era of antibiotic-use. A 13-year-old girl presented with coryzal symptoms and severe headache, with a CT head being consistent with a diagnosis of pansinusitis and orbital cellulitis with abscess formation. She proceeded to have surgical drainage through a combined endoscopic and external approach to intraorbital abscess drainage with frontal trephine. She was also diagnosed with progressive calvarial osteomyelitis involving the right frontal bone, treated with a prolonged course of intravenous antibiotics. Our case highlights the importance of a high index of suspicion for complications of sinusitis. Multimodal imaging is essential to establish the extent of infection, and a multi-disciplinary approach is integral to manage this rare complication.

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Orbital Cellulitis: Defining Multidisciplinary Approach as the Need of the Hour

Cited by 6 publications

References 11 publications

Sublabial Approach Versus Modified Denker’s Procedure: A Comparative Study of Pre-maxillary Tissue Clearance in Covid-Associated Mucormycosis

Sublabial Approach Versus Modified Denker’s Procedure: A Comparative Study of Pre-maxillary Tissue Clearance in Covid-Associated Mucormycosis

Preseptal Cellulitis and Other Facial Skin Infections in Children

A Rare Case of Orbital Cellulitis with Progressive Calvarial Osteomyelitis

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