Aloua Rachid, Kerdoud Ouassime, Slimani Faiçal
Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, Morocco.
Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, B.P 5696, Casablanca, Morocco.
Ann Med Surg (Lond). 2021 Jan 18;62:179-181. doi: 10.1016/j.amsu.2021.01.036. eCollection 2021 Feb.
The authors report a case which aims to underline the importance of multidisciplinary management and rapid diagnosis of orbital cellulitis, for an adequate treatment of ocular damages and related complications, to prevent serious and permanent sequelae and avoid a fatal prognosis.
A 61-year-old female reported to the oral and maxillofacial surgery department after she was dragged around for two months. She presented with a right facial swelling and orbital apex syndrome including proptosis, ophthalmoplegia and ptosis.
Complications of orbital cellulitis may be limited to the orbit, such as subperiosteal or orbital abscess, optic neuritis, blindness, or intracranial such as meningitis, sinus cavernous thrombosis, cerebral abscess and even death.
Maxillofacial surgeons must be aware of this complication in a multidisciplinary context to adopt adequate treatment as soon as possible.
作者报告了一个病例,旨在强调眼眶蜂窝织炎多学科管理和快速诊断对于充分治疗眼部损伤及相关并发症、预防严重和永久性后遗症以及避免致命预后的重要性。
一名61岁女性在辗转求医两个月后到口腔颌面外科就诊。她表现为右侧面部肿胀及眶尖综合征,包括眼球突出、眼球运动障碍和上睑下垂。
眼眶蜂窝织炎的并发症可能局限于眼眶,如骨膜下或眼眶脓肿、视神经炎、失明,或累及颅内,如脑膜炎、海绵窦血栓形成、脑脓肿甚至死亡。
颌面外科医生必须在多学科背景下认识到这种并发症,以便尽快采取适当的治疗措施。