Severe Orbital Infection as a Complication of Orbital Fracture

Silver, H; Fucci, Michael J.; Flanagan, Joseph C.; Lowry, Louis D.

doi:10.1001/archotol.1992.01880080067015

Cited by 33 publications

(14 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Following a conservative treatment, patients are advised to avoid nose blowing, coughing, sneezing, or any activity that may lead to increased pressure in the nasal cavity, including diving and flying by plane [ 12 , 13 , 14 , 15 ]. Oral antibiotics should be given prophylactically because of the enhanced risk of orbital cellulitis due to microbial spread with forced airflow across the orbital cavity and the sinuses [ 16 ]. Steroids may be used to decrease orbital oedema when this is severe [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Isolated Medial Orbital Wall Fracture Associated with Enophthalmos in a Paediatric Patient: An Unusual Presentation

Giannakouras

Pollalis

Tsina

2018

Case Rep Ophthalmol

View full text Add to dashboard Cite

Purpose: To report a case of isolated medial orbital wall fracture with enophthalmos in a paediatric patient and describe the clinical presentation and findings by means of computed tomography (CT) of the head and eyes. Methods: We looked at the patient’s medical and ophthalmologic history, and an ophthalmologic examination and a CT of the head were performed at baseline. Results: A 14-year-old boy was admitted to the emergency department of our institution with ecchymosis of his right eyelids secondary to a sport accident. Physical examination revealed a moderate limitation of upgaze without diplopia. CT showed a medial orbital wall fracture without haemorrhage and a gross accumulation of air in the right eyelid with pressure exertion over the right globe and enophthalmos. The patient was treated conservatively with oral antibiotics and steroids showing dramatic improvement within 1 week. Enophthalmos and periorbital emphysema were completely resolved within 3 months after the accident as indicated by CT. Conclusions: We conclude that surgical intervention and intravenous treatment are not warranted in similar cases of medial orbital wall fracture. Medical history, clinical and paraclinical evaluations, and a regular follow-up, including CT, are needed though to avoid complications such as painful abduction, horizontal diplopia, pseudo sixth nerve paresis, or pseudo Duane.

show abstract

Section: Discussionmentioning

confidence: 99%

Isolated Medial Orbital Wall Fracture Associated with Enophthalmos in a Paediatric Patient: An Unusual Presentation

Giannakouras

Pollalis

Tsina

2018

Case Rep Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Isolated cases of severe orbital infection after orbital fractures have been documented 41 42. Given that orbital fractures frequently communicate with the underlying ethmoidal or maxillary sinuses antibiotic prophylaxis may be considered to prevent postseptal infections.…”

Section: Discharge Carementioning

confidence: 99%

Orbital fractures in the emergency department: a review of early assessment and management

Delpachitra

Rahmel

2015

Emerg Med J

View full text Add to dashboard Cite

show abstract

“…Wir gaben unserem Patienten (Stadium II) trotz fehlender Sinusitis prophylaktisch Amoxicillin und Clavulansäure, um eine orbitale Zellulitis, wie sie nach sinu-orbitaler Kommunikation beschrieben worden ist [17], zu vermeiden. Auûerdem verordneten wir schleimhautabschwellende Sympathomimetika und erteilten dem Patienten ein Schneuzverbot.…”

Section: Diskussionunclassified