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Case report
Facial trauma aggravating paediatric orbital cellulitis
  1. Juliet Laycock,
  2. Oliver James Wright,
  3. Thomas Geyton and
  4. Philippe Bowles
  1. Otolaryngology, Royal Sussex County Hospital, Brighton, UK
  1. Correspondence to Dr Juliet Laycock; julietlaycock{at}


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. Surgical drainage and sinus washout were performed via external incisions, with satisfactory outcome. This case highlights how trauma may represent a non-sinogenic aggravating factor in orbital cellulitis. We describe how a subperiosteal abscess may vary depending on its aetiology, and how the surgical approach can be modified to locate and drain a laterally sited subperiosteal abscess.

  • ear, nose and throat/otolaryngology
  • ophthalmology
  • otolaryngology / ENT

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  • Contributors PB identified this case of interest to discuss. JL lead in writing the manuscript, with assistance from OJW, TG and PB.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.