Preseptal and Postseptal Orbital Cellulitis of Odontogenic Origin

被引:11
作者
Stead, Tej G. [1 ]
Retana, Armando [2 ]
Houck, Jessica [3 ]
Sleigh, Bryan C. [4 ]
Ganti, Latha [5 ]
机构
[1] Brown Univ, Emergency Med, Providence, RI 02912 USA
[2] Capital Ctr Oral & Maxillofacial Surg & Cosmet Su, Oral Surg, Washington, DC USA
[3] Univ Cent Florida, Coll Med, Emergency Med, Hosp Corp Amer Grad Med Educ HCA GME Consortium, Kissimmee, FL USA
[4] Mercer Univ, Sch Med, Emergency Med, Macon, GA 31207 USA
[5] Envis Phys Serv, Emergency Med, Orlando, FL USA
关键词
orbital cellulitis; preseptal cellulitis; odontogenic orbital cellulitis; periorbital cellulitis; postseptal cellulitis; MICROBIOLOGY; INFECTIONS; ABSCESS;
D O I
10.7759/cureus.5087
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The authors present a case of combined preseptal and postseptal cellulitis of odontogenic origin. The infection started as a dental abscess associated with a first maxillary molar. The infection spread into the paranasal sinus, developed into a pansinusitis, and then spread into the preseptal and postseptal tissues. In addition to extraction of the infected tooth, the patient underwent bilateral nasal endoscopy, maxillary antrostomy, total ethmoidectomy, sphenoidotomy, and frontal sinusotomy with balloon dilation. Sinus cultures were positive for 2+ microaerophilic streptococci.
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页数:9
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