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Front Public Health 2020 3;8:204. Epub 2020 Jun 3.

Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, United States.

Methicillin-resistant (MRSA) is a common cause of severe and difficult to treat ocular infection. In this study, the population structure of 68 ocular MRSA isolates collected at Massachusetts Eye and Ear between January 2014 and June 2016 was assessed. By using a combination of multilocus sequence typing (MLST) analysis, SCC typing and detection of the panton-valentine leukocidin (PVL) gene, we found that the population structure of ocular MRSA is composed of lineages with community and hospital origins. Read More

J Pediatr Ophthalmol Strabismus 2020 Jun 23;57:e34-e37. Epub 2020 Jun 23.

The authors report a rare case of fulminant bilateral orbital cellulitis caused by methicillin-resistant Staphylococcus aureus associated with meninigitis in a neonate. The clinical, laboratory, photographic, and radiological records are reviewed. A 17-day-old female infant presented with swelling over both upper eyelids and proptosis in both eyes. Read More

Cureus 2020 May 18;12(5):e8177. Epub 2020 May 18.

Ophthalmology, Bristol Eye Hospital, Bristol, GBR.

Posterior scleritis is a rare sight-threatening condition that typically presents with an acutely painful eye, often with associated reduced visual acuity. Diagnosis can be challenging and requires specialist ophthalmological assessment. Consequences of delayed treatment include permanent loss of vision. Read More

Emerg Radiol 2020 Jun 19. Epub 2020 Jun 19.

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, P.O. Box 648, Rochester, NY, 14642, USA.

There are a wide variety of inflammatory, infectious, and cystic lesions which may lead patients to seek acute care for facial swelling. Computed tomography (CT) has become the mainstay for imaging in the urgent/emergent setting. However, magnetic resonance imaging (MRI) can also serve as a powerful problem solving tool in the modern era. Read More

Middle East Afr J Ophthalmol 2020 Jan-Mar;27(1):65-67. Epub 2020 Apr 29.

Department of Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia.

Repeated vaso-occlusive crises (VOCs) are the hallmark of sickle cell disease (SCD). These repeated crises can lead to bone infarcts, necrosis, and, over time, degenerative changes in the bone marrow. Orbital complications in SCD patients are infrequent and usually present as orbital cellulitis. Read More

Orbit 2020 Jun 9:1-5. Epub 2020 Jun 9.

Department of Ophthalmology & Visual Sciences, University of Adelaide , Adelaide, Australia.

Pyomyositis is a rare condition which occurs most often in large skeletal muscles. Pyomyositis of extraocular muscles is a very rare entity. The authors describe a case of 2 sites of pyomyositis of extraocular muscles. Read More

Int J Clin Exp Pathol 2020 1;13(5):1081-1085. Epub 2020 May 1.

Department of Ophthalmology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China Chengdu 610072, China.

Natural killer T-cell lymphoma (NKTCL) is a highly aggressive tumor that usually affects the nasal cavity and/or paranasal sinuses. Primary orbital NKTCL is extremely rare, with only a few cases reported in the literature. The clinical presentation of orbital involvement by NKTCL is atypical and usually misdiagnosed as orbital cellulitis or orbital pseudotumor. Read More

Curr Med Mycol 2020 ;6(1):51-54

Department of Microbiology, All India Institute of Medical Sciences, Rishikesh.

Background And Purpose: Rhinocerebral mycosis is a rapidly invasive infection in diabetic patients with an unfavorable course. Herein, we report a rare case of orbital cellulitis caused by following fungal rhinosinusitis in a diabetic male patient.

Case Report: A 35-year-old male with uncontrolled diabetes presented to the emergency department of our center with high-grade fever accompanied by chills and rigors, severe diffuse headache, and projectile vomiting with swelling and loss of vision in the right eye. Read More

Orbit 2020 Aug 18;39(4):305-310. Epub 2020 May 18.

Department of Radiology, Rutgers New Jersey Medical School , Newark, New Jersey, USA.

We review two cases of adolescents with orbital cellulitis, sinusitis and SARS- CoV-2 infection presenting to emergency departments within a 24 hour period. SARS-CoV-2 samples obtained within 24 hours were positive, supporting prior infection despite relatively limited early symptoms of COVID-19. Unusual clinical and radiographic characteristics included hemorrhagic abscess with blood of varying age in the first, intracranial epidural abscess in the second, radiographic signal consistent with hemorrhagic or thrombotic phenomena, retro-maxillary antral fat changes, and meningeal enhancement or extension in both cases. Read More

Int J Pediatr Otorhinolaryngol 2020 May 6;135:110086. Epub 2020 May 6.

Department of Otolaryngology, University of Kansas Medical Center, Kansas City, KS, USA.

Introduction: It is unknown the optimal extent of sinus surgery in pediatric patients with orbital cellulitis. Our aim was to determine the nationwide incidence of sinus procedures used to treat pediatric orbital cellulitis. Additionally, we sought to identify patient-factors that influence a multi-procedural approach. Read More

Med Ultrason 2020 May;22(2):253-254

Cliniques Universitaires Saint Luc, Brussels, Pediatric Radiology, 10 Avenue Hippocrate, 1200, Woluwe-Saint-Lambert, Belgium.

Orbital cellulitis is an infrequent but serious complication of sinus infections in children, as was the case of a 7-year-old who presented to the emergency room with ultrasound signs of preseptal cellulitis. Despite a well conducted antibiotic treatment a control ultrasound demonstrated associated signs of retro-septal extension. This case brings to light the essential role of ultrasound in suspected cellulitis, as a mean to differentiate between preseptal cellulitis and retroseptal (orbital) cellulitis. Read More

Otolaryngol Head Neck Surg 2020 May 12:194599820918832. Epub 2020 May 12.

Nationwide Children's Hospital Department of Otolaryngology, Columbus, Ohio, USA.

Objectives: Sinusitis is a common pediatric illness that can be complicated by periorbital or intracranial extension. Patients can be managed with antimicrobials alone or in conjunction with surgical intervention. This article examines management patterns and outcomes in pediatric patients presenting with complicated sinusitis. Read More

Acta Otorrinolaringol Esp 2020 May 7. Epub 2020 May 7.

Servicio de Otorrinolaringología, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, España.

Background And Objective: The spread of an infection from the paranasal sinuses is rare but severe. Between 4% and 20% of all rhinosinusitis can become complicated, orbital involvement being the most frequent (60-75%). Orbital complications are more common in children but more severe in adults. Read More

Sisli Etfal Hastan Tip Bul 2019 19;53(4):409-412. Epub 2019 Nov 19.

Department of Pediatric Infectious Diseases, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

Objectives: Preseptal cellulitis is an infection that affects the palpebra and the periorbital superficial tissue. This study is an evaluation of the clinical findings, treatment, and complications of patients hospitalized with preseptal cellulitis in a single clinic.

Methods: The records of 29 patients with preseptal cellulitis who were hospitalized in the Şişli Hamidiye Etfal Education and Research Hospital Pediatric Infection Clinic between November 2012 and November 2017 were analyzed retrospectively. Read More

Mayo Clin Proc 2020 May;95(5):1050-1058

Department of Ophthalmology, Mayo Clinic, Rochester, MN. Electronic address:

Primary care physicians are at the forefront of patient care and often are the first clinicians to triage and diagnose any eye-related complaints. They must be able to quickly identify vision-threatening pathologies, as delay in treatment of an ocular emergency can result in permanent vision loss. This concise review describes the definition, presentation, examination, and management of various ophthalmic emergencies including blunt ocular trauma, chemical ocular injury, orbital cellulitis, endophthalmitis, acute angle closure glaucoma, optic neuritis, giant cell arteritis, central retinal artery occlusion, retinal detachment, and homonymous hemianopia in a succinct manner. Read More

Case Rep Ophthalmol Med 2020 8;2020:2304861. Epub 2020 Apr 8.

Ophthalmology Department, Military Instruction Hospital Mohammed V, Rabat, Morocco.

We present a case of a 46-year-old woman admitted to the emergency department for acute swelling and erythema of the right eyelid for 3 days. Ophthalmological examination was notable for 10/10, P2 best visual acuity, and inflammatory periorbital edema, without exophthalmia nor extraocular motility disturbance. Intraocular pressure was 14 mmHg and fundoscopic examination was not notable for any abnormality. Read More

Eur J Ophthalmol 2020 Apr 22:1120672120919343. Epub 2020 Apr 22.

Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Sudden and extensive growth of intraocular tumors like retinoblastoma and choroidal melanoma may result in the clinical presentation of sterile or aseptic orbital cellulitis. In such masquerading situations, ocular and orbital imaging plays a significant role. The treatment with steroids may provide a rapid recovery from the aggressive orbital inflammation. Read More

Indian J Ophthalmol 2020 May;68(5):900-901

Pediatric Ophthalmology and Strabismus, Sadguru Netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Chitrakoot, Madhya Pradesh, India.

BMJ Case Rep 2020 Apr 20;13(4). Epub 2020 Apr 20.

Otolaryngology, Royal Sussex County Hospital, Brighton, UK.

We describe a case of paediatric orbital cellulitis with subperiosteal abscess following blunt facial trauma. Clinical features of orbital cellulitis developed on day 1 post-trauma. A subperiosteal collection subsequently formed lateral to the globe, causing significant ocular compromise. Read More

J Craniofac Surg 2020 Jun;31(4):1111-1113

Weill-Cornell Medical College.

Penetrating orbital trauma in the pediatric population is rare. Even more unusual is a secondary orbital infection following penetrating trauma. Here we present a highly unusual case of fulminant facial cellulitis with an orbital abscess in an otherwise healthy 3-year-old boy following a penetrating injury to the orbit from a point of entry on the gingiva-buccal sulcus, sustained during a fall while carrying a wooden lollipop stick. Read More

Int Forum Allergy Rhinol 2020 Jun 13;10(6):726-737. Epub 2020 Apr 13.

Department of Otolaryngology, Head and Neck Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Background: Periorbital cellulitis is a potential sight-threatening complication of sinusitis. The majority of patients improve with medical management. Previous studies have suggested significant variations in practice and lack of evidence regarding the optimal management of this condition. Read More

Eur Ann Otorhinolaryngol Head Neck Dis 2020 Apr 9. Epub 2020 Apr 9.

Université de Thies, Thies, Senegal.

Introduction: Locoregional complications of sinusitis are dominated by oculo-orbital and/or cranioencephalic manifestations that may be life-threatening or jeopardize functional prognosis. The aim of this study was to report epidemiological, diagnostic and therapeutic aspects.

Materials And Methods: A retrospective study included inpatients managed for sinusitis complications in the ENT and neurosurgery departments of the Fann university hospital center in Dakar, Senegal between January 1, 2005 and December 31, 2016. Read More

Front Vet Sci 2020 12;7:122. Epub 2020 Mar 12.

Department of Pathology and Population Medicine, College of Veterinary Medicine, Midwestern University, Glendale, AZ, United States.

Acute bacterial rhinosinusitis is a common illness in children and can lead to complications such as preseptal/orbital cellulitis, orbital/subdural/cerebral abscessation, osteomyelitis, meningitis, and optic neuritis with blindness. Primary bacterial infections leading to rhinosinusitis in cats is rare and descriptive reports are lacking. The current report describes a cat with and spp. Read More

Cureus 2020 Feb 23;12(2):e7080. Epub 2020 Feb 23.

Neurology, Maltepe University, İstanbul, TUR.

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. Read More

J Craniofac Surg 2020 Mar 27. Epub 2020 Mar 27.

Adana City Training and Research Hospital, Ear Nose and Throat Department, Adana, Turkey.

Ethmoid sinus osteomas are rare, benign, encapsulated neoplasms of the paranasal region. They can lead to various complications such as sinusitis, orbital cellulitis, proptosis, and diplopia. The treatment protocol of these lesions changed remarkably as powered instrumentation of functional endoscopic sinus surgery evolved and otolaryngologists gained experience. Read More

Ophthalmic Epidemiol 2020 Aug 29;27(4):300-309. Epub 2020 Mar 29.

Department of Ophthalmology, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania, USA.

Purpose: To describe the epidemiology of Emergency Department (ED) visits related to opioid abuse with primary ophthalmic diagnoses in the United States (US).

Methods: This retrospective cross-sectional study used National ED Sample (NEDS) (2006-2015), a representative sample of all US EDs, to analyze and compare the epidemiology of primary ophthalmic diagnoses in opioid abusers and a control group of non-opioid users. National incidence and descriptive statistics were calculated for demographics and prevalent diagnoses. Read More

Ophthalmic Plast Reconstr Surg 2020 Mar 25. Epub 2020 Mar 25.

Division of Ophthalmology, Albany Medical Center.

A 49-year-old otherwise healthy male presented with an odontogenic abscess and mild left facial swelling. CT imaging revealed gaseous hypodensities within the inferior orbital fissure and pterygopalatine fossa in addition to infection of the left masseter and temporalis muscle. Despite dental drainage, this rapidly progressed to orbital cellulitis with temporalis muscles abscess leading to compartment syndrome and globe tenting. Read More

Pediatr Emerg Care 2020 Mar 19. Epub 2020 Mar 19.

Faculty of Medicine.

Background: Evaluation of a child with POC/OC is complicated due difficulties in physical examination and risks of imaging by computed tomography.

Method: Retrospective review of children 0-16 years admitted to the pediatric emergency department for POC/OC from 2009 to 2019.

Results: Ten years study period, 243 children younger than 16 years presented to the pediatric emergency department with a diagnosis of POC/OC. Read More

Ophthalmol Retina 2020 Jan 13. Epub 2020 Jan 13.

Hospital "Dr. Luis Sánchez Bulnes," Asociación Para Evitar la Ceguera en México I.A.P., Mexico City, Mexico; Retina Department, Hospital "Dr. Luis Sánchez Bulnes," Asociación Para Evitar la Ceguera en México I.A.P, Mexico City, Mexico.

Purpose: To describe preoperative, intraoperative, and postoperative characteristics, imaging findings, and clinical evolution of patients who developed orbital emphysema after vitreoretinal surgery.

Design: Retrospective, descriptive, observational case series.

Participants: Patients with orbital emphysema after vitreoretinal surgery who were diagnosed and treated between January 2006 and October 2018 at a single ophthalmology referral center. Read More

Indian J Otolaryngol Head Neck Surg 2020 Mar 5;72(1):104-111. Epub 2019 Dec 5.

Department of Microbiology, Raipur Institute of Medical Sciences, Raipur, Chhattisgarh 492001 India.

To study the clinical presentation and management outcomes in a series of patients with invasive rhino-orbital-cerebral mucormycosis presenting to a tertiary care center in central India. Medical records of eleven consecutive cases of invasive rhino-orbital-cerebral mucormycosis were reviewed. All clinically diagnosed cases, confirmed on microbiological examination were included. Read More

Br J Gen Pract 2020 Apr 26;70(693):e255-e263. Epub 2020 Mar 26.

School of Primary Care, Population Sciences and Medical Education, Aldermoor Health Centre, Southampton.

Background: Most people with acute otitis media (AOM) and acute sinusitis (AS) do not benefit from antibiotics, and GPs are under increasing pressure to reduce antibiotic prescribing. Concern about the risk of complications can drive unnecessary prescribing.

Aim: To describe the incidence of serious complications following AOM and AS, and to determine whether antibiotics are protective. Read More

Am J Ophthalmol Case Rep 2020 Jun 24;18:100630. Epub 2020 Feb 24.

Department of Ophthalmology, Icahn School of Medicine Mount Sinai Hospital, 1468 Madison Ave, New York, NY, 10029, USA.

Purpose: To present a unique case of keratitis with progression to corneal perforation and endophthalmitis, in the setting of epidermal growth factor receptor inhibitor (erlotinib) therapy for advanced non-small cell lung cancer.

Observations: An 89-year-old female with non-small cell lung cancer on erlotinib presented with corneal perforation due to infectious keratitis. Microbial cultures grew a virulent pathogen known to affect immunocompromised patients that has not been previously described to cause infectious keratitis. Read More

Klin Monbl Augenheilkd 2020 Apr 4;237(4):524-526. Epub 2020 Mar 4.

Augenklinik, Universitätsspital Zürich, Zürich, Switzerland.

Arch Craniofac Surg 2020 Feb 20;21(1):53-57. Epub 2020 Feb 20.

Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.

A mucocele is an epithelium-lined, mucus-filled cavity in the paranasal sinuses. Mucocele may develop due to scarring and obstruction of the sinus ostium caused by midface sinus trauma, such as orbital bone fracture or endoscopic sinus surgery. The authors report two cases of orbital mucocele as complications following midface sinus injury (endoscopic sinus surgery in one case, and orbital fracture repair in the other). Read More

Ocul Immunol Inflamm 2020 Feb 14:1-9. Epub 2020 Feb 14.

Division of Ophthalmology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Both infective and neoplastic eyelid and orbital conditions in human immunodeficiency virus (HIV) infected patients are often the result of opportunistic or co-infections (OI). In most cases, these clinical findings in younger patients alert the physician to suspected underlying HIV infection. When the eyelids and periorbital skin are primarily involved in OI with varicella-zoster virus it is called Herpes Zoster Ophthalmicus. Read More

Dtsch Arztebl Int 2020 01;117(4):60

Orbit 2020 Jan 29:1-6. Epub 2020 Jan 29.

Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

: To study acute dacryocystitis in a pediatric age group, focusing on patients' demographic profiles, clinical presentation, and management outcome.: A retrospective case series of all acute dacryocystitis in pediatric patients (0-17 years) from two tertiary-care eye centres in Riyadh, Saudi Arabia was conducted. Demographic profile, risk factors, initial clinical presentation, management regimens, and final outcome were analysed. Read More

JAMA 2020 01;323(2):196

Pediatric Critical Care, Johns Hopkins All Children's Hospital, St Petersburg, Florida.

Am J Case Rep 2020 Jan 14;21:e919715. Epub 2020 Jan 14.

Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia.

BACKGROUND Multifocal superficial thrombophlebitis is a rare clinical manifestation with wide differential diagnosis in relation to the background disease. CASE REPORT Here we report on 2 patients who presented with a systemic inflammatory response, multifocal thrombophlebitis, and orbital inflammation in whom a diagnosis of a defined background disease could not be established. CONCLUSIONS The clinical pattern of our 2 cases might represent a distinctive, not yet defined systemic medical condition. Read More

Saudi J Ophthalmol 2019 Oct-Dec;33(4):405-408. Epub 2019 Jan 25.

Diagnostic Imaging Department, King Khalid Eye Specialist Hospital, Riyadh, Saudi Arabia.

We report a case of a young healthy patient who developed orbital cellulitis and scleritis after retinal detachment surgery that was repaired with a scleral buckling procedure. Once scleral implant infection occurs, orbital infection results requiring removal of the implant in all previous reported cases. However, our patient was treated with systemic antibiotic and steroids without the need for removal of the scleral buckle. Read More

BMJ Open 2019 12 22;9(12):e035206. Epub 2019 Dec 22.

Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Introduction: Skin and soft tissue infections of the eye can be classified based on anatomic location as either anterior to the orbital septum (ie, periorbital cellulitis) or posterior to the orbital septum (ie, orbital cellulitis). These two conditions are often considered together in hospitalised children as clinical differentiation is difficult, especially in young children. Prior studies have identified variation in management of hospitalised children with orbital cellulitis; however, they have been limited either as single centre studies or by the use of administrative data which lacks clinical details important for interpreting variation in care. Read More

Orbit 2019 Dec 18:1-4. Epub 2019 Dec 18.

Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.

This report presents two cases of epidemic keratoconjunctivitis (EKC)-associated dacryocystitis. Both patients presented with preseptal edema. Orbital computed tomography (CT) scans were performed out of concern for orbital cellulitis and revealed soft tissue edema involving the preseptal aspect of the eyelids and also the lacrimal sac. Read More

Pediatr Emerg Care 2019 Dec 16. Epub 2019 Dec 16.

From the Departments of Emergency Medicine.

Infectious mononucleosis (IM) is a disease common among adolescents in the United States. Frequently, symptoms include sore throat, malaise, fevers, lymphadenopathy, and abdominal pain. Severe complications have been reported such as splenic rupture, acute upper airway obstruction, hepatitis, acute renal failure, and hematological and neurological complications. Read More

Acta Paediatr 2020 Jun 19;109(6):1269-1270. Epub 2019 Dec 19.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Ophthalmic Plast Reconstr Surg 2020 Mar/Apr;36(2):e28-e30

Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut.

A 56-year-old man presented with a periorbital subcutaneous mass and ipsilateral visually significant orbital inflammation that was refractory to broad-spectrum antibiotics. Orbitotomy with biopsy revealed the diagnosis of metastatic lung cancer, and the patient was initiated on systemic chemotherapy and adjuvant radiation. This is the first report of pulmonary adenocarcinoma metastatic simultaneously to the periocular cutaneous and intraorbital soft tissues. Read More

Arch Soc Esp Oftalmol 2020 Jan 22;95(1):34-37. Epub 2019 Nov 22.

Departamento de Oftalmología, Hospital General de Granollers, Granollers, Barcelona, España.

The case is presented of a 62 year-old woman with a rapid, progressive bilateral decrease in visual acuity and panuveitis with orbital cellulitis. She was also in poor general condition, with emesis and fever. Septicaemia due to Klebsiella pneumoniae and bilateral endogenous panophthalmitis were diagnosed. Read More

Arch Argent Pediatr 2019 12;117(6):e670-e675

Servicio de Otorrinolaringología del Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires.

Orbital infection is the most frequent complication of ethmoiditis. Recurrent periorbital cellulitis is a very rare complication of rhinosinusitis with only three reports in the literature describing this pathological process. This complication can be favored by an anatomical abnormality of the uncinate process or mucocele obstructing the normal drainage pathway, in addition to ethmoidal sinusitis. Read More

Indian J Otolaryngol Head Neck Surg 2019 Dec 16;71(4):464-469. Epub 2019 Mar 16.

Department of Otorhinolaryngology and Head Neck Surgery, Dr.S.N.Medical College and M.D.M.Hospital, Jodhpur, Rajasthan 342003 India.

The aim of the study is to determine epidemiological profile of cases admitted with suspicion of pre or post septal cellulitis and to define and evaluate the various factors associated with the aetiology, presentation, diagnosis and management of orbital and preseptal cellulitis via a one year study of ten cases presenting to a tertiary care hospital in western Rajasthan, India. All patients presenting to our department or being transferred from other departments to us with the diagnosis of pre/post septal cellulitis from the March of 2017 to February 2018 were considered for this case series. Data compilation of these patients was done which included age, sex, chief complain, duration of illness, associated co-morbidities, time of presentation, management plan undertaken and associated radiological findings. Read More

Am J Otolaryngol 2020 Jan - Feb;41(1):102320. Epub 2019 Oct 31.

University Hospital Thar Sfar, Mahdia Pediatric Department, 5100 Mahdia, Tunisia; Monastir University, Faculty of Medicine, 5019 Monastir, Tunisia; Applied Epidemiology in Maternal and Child Health (LR 12 SP 17), Tunisia.

Objective: The anatomical and developmental particularities of sinus cavities in paediatric population lead acute ethmoiditis to be the earliest form of sinusitis in children. Orbital complications are frequent and could lead to visual and neurological impairment. This study investigated the clinical, biological and radiological features of orbital complications. Read More