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Considerations in the management of a paediatric patient with recurrent periorbital cellulitis.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Considerations in the management of a paediatric patient with recurrent periorbital cellulitis.
Συγγραφείς: Nusky S; Golden Jubilee National Hospital, Clydebank, UK., Swann P; St John's Hospital, Livingston, UK., Hopkins M; St John's Hospital, Livingston, UK., D'Costa A; Royal Infirmary of Edinburgh, NHS Scotland, Edinburgh, UK adcosta@ed.ac.uk., Gohil R; St John's Hospital, Livingston, UK.
Πηγή: BMJ case reports [BMJ Case Rep] 2026 Aug 24; Vol. 19 (8). Date of Electronic Publication: 2026 Aug 24.
Τύπος έκδοσης: Journal Article; Case Reports
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE
Imprint Name(s): Original Publication: London : BMJ Pub. Group
Ιατρικοί όροι (MeSH): Orbital Cellulitis*/surgery , Orbital Cellulitis*/diagnosis , Abscess*/surgery, Anti-Bacterial Agents/therapeutic use ; Humans ; Male ; Recurrence ; Endoscopy ; Tomography, X-Ray Computed ; Child, Preschool
Περίληψη: Periorbital cellulitis with subperiosteal orbital abscess (SPOA) is a common presentation to paediatric ear, nose and throat services. Recurrent cases are rare but pose significant therapeutic challenges.We present the case of a boy in early childhood with recurrent left periorbital cellulitis and SPOA formation, which required three surgical procedures. The third procedure was performed endoscopically due to the abscess being sited posteriorly towards the orbital apex. Following this, he recovered well with no residual deficiencies to his vision. This impact was sustained over a 12-month period.This case highlights the importance of a full assessment along the lamina papyracea to minimise risk of recurrence. A defect in the lamina can provide a direct route of spread for pus and scarring around the anterior orbit from previous surgery can limit tissue compliance, resulting in an increased risk of visual compromise. In these cases, early operative intervention should be considered.
(© BMJ Publishing Group Limited 2026. No commercial re-use. See rights and permissions. Published by BMJ Group.)
Competing Interests: Competing interests: None declared.
Contributed Indexing: Keywords: Ear, nose and throat/otolaryngology; Otolaryngology / ENT; Paediatrics
Substance Nomenclature: 0 (Anti-Bacterial Agents)
Entry Date(s): Date Created: 20260824 Date Completed: 20260824 Latest Revision: 20260914
Update Code: 20260914
DOI: 10.1136/bcr-2025-270592
PMID: 42637516
Βάση Δεδομένων: MEDLINE
FullText Text:
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  Data: Considerations in the management of a paediatric patient with recurrent periorbital cellulitis.
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  Data: <searchLink fieldCode="AU" term="%22Nusky+S%22">Nusky S</searchLink>; Golden Jubilee National Hospital, Clydebank, UK.<br /><searchLink fieldCode="AU" term="%22Swann+P%22">Swann P</searchLink>; St John's Hospital, Livingston, UK.<br /><searchLink fieldCode="AU" term="%22Hopkins+M%22">Hopkins M</searchLink>; St John's Hospital, Livingston, UK.<br /><searchLink fieldCode="AU" term="%22D'Costa+A%22">D'Costa A</searchLink>; Royal Infirmary of Edinburgh, NHS Scotland, Edinburgh, UK adcosta@ed.ac.uk.<br /><searchLink fieldCode="AU" term="%22Gohil+R%22">Gohil R</searchLink>; St John's Hospital, Livingston, UK.
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  Data: <searchLink fieldCode="JN" term="%22101526291%22">BMJ case reports</searchLink> [BMJ Case Rep] 2026 Aug 24; Vol. 19 (8). <i>Date of Electronic Publication: </i>2026 Aug 24.
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  Data: <searchLink fieldCode="MM" term="%22Orbital+Cellulitis%22">Orbital Cellulitis*</searchLink>/<searchLink fieldCode="MM" term="%22Orbital+Cellulitis+surgery%22">surgery</searchLink> <br /><searchLink fieldCode="MM" term="%22Orbital+Cellulitis%22">Orbital Cellulitis*</searchLink>/<searchLink fieldCode="MM" term="%22Orbital+Cellulitis+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Abscess%22">Abscess*</searchLink>/<searchLink fieldCode="MM" term="%22Abscess+surgery%22">surgery</searchLink><br /><searchLink fieldCode="MH" term="%22Anti-Bacterial+Agents%22">Anti-Bacterial Agents</searchLink>/<searchLink fieldCode="MH" term="%22Anti-Bacterial+Agents+therapeutic+use%22">therapeutic use</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Recurrence%22">Recurrence</searchLink> ; <searchLink fieldCode="MH" term="%22Endoscopy%22">Endoscopy</searchLink> ; <searchLink fieldCode="MH" term="%22Tomography%2C+X-Ray+Computed%22">Tomography, X-Ray Computed</searchLink> ; <searchLink fieldCode="MH" term="%22Child%2C+Preschool%22">Child, Preschool</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Periorbital cellulitis with subperiosteal orbital abscess (SPOA) is a common presentation to paediatric ear, nose and throat services. Recurrent cases are rare but pose significant therapeutic challenges.We present the case of a boy in early childhood with recurrent left periorbital cellulitis and SPOA formation, which required three surgical procedures. The third procedure was performed endoscopically due to the abscess being sited posteriorly towards the orbital apex. Following this, he recovered well with no residual deficiencies to his vision. This impact was sustained over a 12-month period.This case highlights the importance of a full assessment along the lamina papyracea to minimise risk of recurrence. A defect in the lamina can provide a direct route of spread for pus and scarring around the anterior orbit from previous surgery can limit tissue compliance, resulting in an increased risk of visual compromise. In these cases, early operative intervention should be considered.<br /> (© BMJ Publishing Group Limited 2026. No commercial re-use. See rights and permissions. Published by BMJ Group.)
– Name: Abstract
  Label: Competing Interests
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  Data: Competing interests: None declared.
– Name: SubjectMinor
  Label: Contributed Indexing
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  Data: <i>Keywords: </i>Ear, nose and throat/otolaryngology; Otolaryngology / ENT; Paediatrics
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  Data: 0 (Anti-Bacterial Agents)
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  Data: <i>Date Created: </i>20260824 <i>Date Completed: </i>20260824 <i>Latest Revision: </i>20260914
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  Data: 20260914
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  Data: 10.1136/bcr-2025-270592
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        Text: English
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        Type: general
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              Text: 2026 Aug 24
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