Paediatric orbital subperiosteal abscess (SPA) requires prompt and appropriate treatment to prevent further complication. A 10-year-old girl with a history of sinusitis came progressive swelling on her left eye, non-axial proptosis visual acuity (VA) was 2/60. computed tomography scan revealed SPA formation in the superior orbit. This report highlights that intravenous antibiotic incision drain...

A seven-year-old male presented with fever, left-sided facial redness, swelling and proptosis over a 24-hour period. He had noted left-sided toothache and rhinorrhea over the preceding week. On presentation, he stated that he was unable to see " anything, including light " from his left eye. On physical examination, the patient was febrile with left periorbital swelling and significant left-sid...

BACKGROUND The spread of infection from the ethmoid sinuses to the orbit occurs directly through a congenital dehiscence of the lamina papyracea or via haematogenous spread through ophthalmic venous system. Hence orbital complications of paediatric rhinosinusitis are usually unilateral at presentation. METHODS We describe three children with bilateral orbital cellulitis that occurred as a com...

OBJECTIVE To evaluate the outcomes of a new surgical approach in children with acute sinusitis and medial orbital subperiosteal abscess. DESIGN Case series. SETTING Tertiary pediatric hospital. PATIENTS Eleven children aged 6 weeks to 13 years with orbital subperiosteal abscess and acute sinusitis who met indication for surgery by visual compromise and/or refractory course to medical ther...

BACKGROUND To describe the clinical features of intratemporal complications of acute otitis media (AOM) in children, a retrospective study was carried out for two years. METHODS We considered acute mastoiditis, presence of postauricular swelling, erythema and tenderness and anteroinferior displacement of the auricle; labyrinthitis, presence of vestibular symptoms (spontaneous nystagmus and at...

Orbital cellulitis is extremely uncommon in neonates. We report a 28 day old baby who presented with sudden onset of fever, red and swollen right eye. The child had symptoms of nasal stuffiness 2 weeks prior to this presentation. Physical and laboratory findings were suggestive of orbital cellulitis. The baby was started on systemic broad spectrum antibiotics. Despite 48 hours of antibiotics, t...

Figure 1. Magnetic resonance imaging of the brain demonstrating peripheral enhancement of the scalp abscess alongside noticeable enhancement of the adjacent soft tissues, pathological bone, and underlying pachymeningeal layer enhanced on a coronal T1W slice (left) with a clear intra-osseous edematous edema in keeping with osteomyelitic changes isolating a central bone sequestrum, communicating ...

Introduction: Transnasal endoscopic approach is well established in the management of subperiosteal abscess but retro-orbital abscess is commonly treated by external surgical approach. There are only two articles published on endoscopic drainage of retro-orbital abscess. We present our experience in the management of retro-orbital abscesses by transnasal endoscopic surgery. Methods: Retrospecti...