Skip to main content

Advertisement

SpringerLink
Log in

A Rare Case of Orbital Cellulitis Followed by Therapeutic(Orthodontic) Extraction

  • Case Report
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

We report a rare case of orbital cellulitis occurring secondary to a dental infection followed by therapeutic (orthodontic) extraction. A 16 year old female patient presented to the dental office with a left orbital proptosis for the past 4 days. PNS view, CT scan revealed an abscess in relation to medial, lateral superior inferior walls of the orbit associated with naso ethmoidal and left maxillary sinus. Through nasal endoscopy, middle meatus antrostomy and ethmoidectomy was performed for the drainage of pus from the orbit, ethmoid and maxillary sinus under general anesthesia. Immediately regression of orbital swelling was noticed. Eyeball movements improved. Epiphora reduced and proptosis declined. With the advent of higher antibiotics, orbital infection rarely occurs secondary to dental causes except in a very few cases. Complete elimination of pus from orbital cavity, para nasal air sinuses and appropriate antibiotic coverage at the earliest forms the mainstay of treatment. The nasal endoscopic approach with orbital decompression is the most acceptable atrumatic, cosmetic and functional procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

References

  1. Pereira FP, VelascoeCruz AA, Anselmo-Lima WT, Elias Junior J. (2006) Computed tomographic patterns of orbital cellulitis due to sinusitis. Arq Bras Oftamol 69(4):513–518.

    Google Scholar 

  2. Duke-Elder S (1974) The ocular adnexa. Syst Ophthalomol St Louis: Mosby 13(2):859–866

    Google Scholar 

  3. Gans H, Sekula J, Wlodyka J (1974) Treatment of acute orbital complications. Arch Otolaryngol 100:329–332

    PubMed  CAS  Google Scholar 

  4. Fearon B, Edmonds B, Bird R (1979) Orbital-facical complications of sinusitis in children. Laryngoscope 86(6 pt 1):947–953

    Google Scholar 

  5. Dingman RO (1939) The management of acute infections of the face and jaws. Am J Orthod 25(8):780–794

    Google Scholar 

  6. Singer E (1935) Fasciae of the human body and their relations to the organs they envelop. Williams & Wilkins, Baltimore, pp 1–105.

  7. Grodinsky M, Holyoke EA (1938) Fasciae and fascial spaces of the head, neck, and adjacent regions. Am J Anat 63(3):367–408

    Article  Google Scholar 

  8. Coller FA, Yglesias L (1935) Infections of the lip and face. Surg Gynecol Obstet 60:277–288

    Google Scholar 

  9. Birn H (1972) Spread of dental infections. Dent Pract Dent Rec 22(9):347–356

    PubMed  CAS  Google Scholar 

  10. Shaw RE (1952) Cavernous sinus thrombo phlebitis: a review. BrJ Surg 40(159):40–48

    Article  CAS  Google Scholar 

  11. Hempstead BE (1927) Intranasal surgical treatment of chronic maxillary sinusitis. Arch Otolaryngol 6:426–430

    Google Scholar 

  12. Martin-Hirsch DP, Habashi S, Hinton AH, Kotecha B (1992) Research Article Arch Emerg Med 9:143–148. doi:10.1136/emj.9.2.143

    Google Scholar 

  13. Gold RS, Sager E (1974) Pansinusitis, orbital cellulitis, and blindness as sequelae of delayed treatment of dental abscess. J Oral Surg 32(1):40–43

    PubMed  CAS  Google Scholar 

  14. Yates C, Monks A (1978) Orbital cellulitis complicating the extraction of teeth. J Dent 6(3):229–232

    Article  PubMed  CAS  Google Scholar 

  15. Moloney ER, Badham NJ, McRae A (1987) The acute orbit, preseptal (periorbital) cellulitis, subperiosteal abscess and orbital cellulitis due to sinusitis. J Laryngol Otol 101(Suppl 12):1–18

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Oral & Maxillo Facial Surgery, Drs. Sudha & Nageswara Rao Siddartha Institute of Dental Sciences, Chinoutpalli, Vijayawada, Krishna District, Andhra Pradesh, India

    B. Srinivasa Prasad

  2. Department of Orthodontics & Dentofacial Orthopedics, Drs. Sudha & Nageswara Rao Siddartha Institute of Dental Sciences, Chinoutpalli, Vijayawada, Krishna District, Andhra Pradesh, India

    T. Govardhan

Authors
  1. B. Srinivasa Prasad
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. Govardhan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to B. Srinivasa Prasad.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Srinivasa Prasad, B., Govardhan, T. A Rare Case of Orbital Cellulitis Followed by Therapeutic(Orthodontic) Extraction. J. Maxillofac. Oral Surg. 10, 257–261 (2011). https://doi.org/10.1007/s12663-010-0150-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-010-0150-4

Keywords

Search

Navigation