Preseptal and Postseptal Orbital Cellulitis of Odontogenic Origin

Stead, Tej G; Retana, Armando; Houck, Jessica; Sleigh, Bryan C; Ganti, Latha

doi:10.7759/cureus.5087

Cited by 14 publications

(22 citation statements)

References 18 publications

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“…Therapeutic management should be initiated urgently when orbital cellulitis is suspected, due to the formidable complications, such as acute vision loss, cavernous sinus thrombosis, or septic intracranial dissemination (7)(8)(9)(10)(11)(12)(13)(14)(15). High-dose intrave-nous antibiotic therapy will be initiated with broad-spectrum, Gram-positive, Gram-negative, and anaerobic antibiotic combinations.…”

Section: Discussionmentioning

confidence: 99%

Odontogenic orbital cellulitis. Case report and review of literature

Daniela

2021

MSJ

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Section: Discussionmentioning

confidence: 99%

Odontogenic orbital cellulitis. Case report and review of literature

Daniela

2021

MSJ

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“…The most common source of orbital cellulitis is bacterial rhinosinusitis. Approximately 86-98% of the cases with orbital cellulitis have coexisting rhinosinusitis [ 8 ]. Origin of the infection can also be preseptal cellulitis, dacryocystitis, midfacial skin or dental infection and posttraumatic, even any type of ocular surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Origin of the infection can also be preseptal cellulitis, dacryocystitis, midfacial skin or dental infection and posttraumatic, even any type of ocular surgery. The condition usually develops with fever and peripheral leukocytosis and the diagnosis is indicated by CT scan or MRI [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Odontogenic orbital inflammation

Costan¹,

Bogdănici²,

Gheorghe³

et al. 2020

rjo

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Objective: This study aimed to determine the most frequent clinical aspects in patients with odontogenic orbital inflammation, the computed tomography (CT) aspect, and the most appropriate treatment. Material and Methods: This is a retrospective case-series study conducted on 3 patients with ages between 16 and 55 years old, in the Ophthalmology and Oro-Maxillo-Facial Clinics of “Sf. Spiridon” Emergency Hospital, Iași, Romania. The following investigations were performed in all selected cases: visual acuity (VA), ocular motility examination, anterior segment examination at slit-lamp, fundus examination, intraoral clinical examination, sinus and orbital involvement on CT scan, pathogens involved. Results: All three patients presented swelling of the genic and periorbital regions, conjunctival chemosis, hyperemia of the conjunctiva, proptosis, pain, decreased vision and extraocular movement restriction. The CT examination identified orbital and periorbital cellulitis and ethmoidal expanded maxillary sinusitis or pansinusitis. Dental extraction, transalveolar drainage and orbital decompression were performed in all three cases. The evolution was favorable with remission of proptosis, edema of the genic and periorbital regions and conjunctival chemosis. Visual acuity remained poor in one case due to total optic nerve atrophy. Conclusions: Our study had a small number of patients, but the data was pertinent to ophthalmologists and maxillofacial surgeons who need to be aware of typical clinical features and the most common etiologies. Late treatment of dental infections can lead to severe ocular manifestations such as orbital cellulitis. Odontogenic orbital inflammation management involves a long-term and multidisciplinary approach. Abbreviations: CT = computed tomography, VA = visual acuity, CBCT = cone beam computed tomography, TED = thyroid eye disease, MRI = magnetic resonance imaging, OOC = odontogenic orbital cellulitis, RAPD = relative afferent pupillary defect

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“…Orbital cellulitis represents a major infection of orbital tissues. Various patterns of contiguous spread can cause orbital cellulitis such as direct invasion from paranasal infection, direct inoculation from trauma, or hematogenous spread from bacteremia [5].…”

Section: Discussionmentioning

confidence: 99%

Superior Optic Vein Thrombosis Related to Orbital Cellulitis Secondary to Aquatic Injury

Özünal¹,

Karşıdağ²,

Sahin³

2020

Cureus

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A 52-year-old woman presented with orbital cellulitis and sixth cranial nerve palsy as a result of striking the tail of a stingray while swimming. Her ophthalmologic and neurologic examination showed injury of the conjunctiva, corneal abrasion without mention of foreign body, contusion of the eyelid, and isolated lateral gaze palsy and ptosis in the right eye. Orbital magnetic resonance (MR) imaging and MR venography showed orbital cellulitis, superior and lateral rectus edema, and thrombosis of the superior ophthalmic vein on the right eye. She was treated appropriately, and her physical examination showed significant improvement within three months.

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Preseptal and Postseptal Orbital Cellulitis of Odontogenic Origin

Cited by 14 publications

References 18 publications

Odontogenic orbital cellulitis. Case report and review of literature

Odontogenic orbital cellulitis. Case report and review of literature

Odontogenic orbital inflammation

Superior Optic Vein Thrombosis Related to Orbital Cellulitis Secondary to Aquatic Injury

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