Academic Journal
Προβολή σε EDS

Pediatric Orbital Cellulitis Complicated by Cavernous Sinus Thrombosis: A Pediatric Simulation Case for Residents.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Pediatric Orbital Cellulitis Complicated by Cavernous Sinus Thrombosis: A Pediatric Simulation Case for Residents.
Συγγραφείς: Fune J; Assistant Professor, Division of Pediatric Hospital Medicine, Department of Pediatrics, Mount Sinai Kravis Children's Hospital., Siegel E; Assistant Professor, Division of Pediatric Hospital Medicine, Department of Pediatrics, Mount Sinai Kravis Children's Hospital., Yang M; Fellow, Division of Pediatric Critical Care Medicine, Department of Pediatrics, Mount Sinai Kravis Children's Hospital., Gillen JK; Assistant Professor, Division of Pediatric Critical Care Medicine, Department of Pediatrics, Mount Sinai Kravis Children's Hospital., Kutzin JM; Professor, Department of Emergency Medicine, Department of Medical Education, Icahn School of Medicine at Mount Sinai; Senior Director, Simulation, Teaching, and Research Center, Department of Emergency Medicine, The Mount Sinai Hospital.
Πηγή: MedEdPORTAL : the journal of teaching and learning resources [MedEdPORTAL] 2026 Aug 27; Vol. 22, pp. 11633. Date of Electronic Publication: 2026 Aug 27 (Print Publication: 2026).
Τύπος έκδοσης: Journal Article; Case Reports
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Association of American Medical Colleges Country of Publication: United States NLM ID: 101714390 Publication Model: eCollection Cited Medium: Internet ISSN: 2374-8265 (Electronic) Linking ISSN: 23748265 NLM ISO Abbreviation: MedEdPORTAL Subsets: MEDLINE
Imprint Name(s): Original Publication: Washington, DC : Association of American Medical Colleges, [2005]-
Ιατρικοί όροι (MeSH): Cavernous Sinus Thrombosis*/etiology , Cavernous Sinus Thrombosis*/complications , Cavernous Sinus Thrombosis*/diagnosis , Cavernous Sinus Thrombosis*/physiopathology , Orbital Cellulitis*/complications , Orbital Cellulitis*/diagnosis , Orbital Cellulitis*/physiopathology , Pediatrics*/education , Pediatrics*/methods, Internship and Residency/methods ; Simulation Training/methods ; Child ; Humans ; Surveys and Questionnaires
Περίληψη: Introduction: Orbital cellulitis is primarily a pediatric disease; although distinct from periorbital cellulitis, presenting symptoms may overlap, creating a challenge in diagnosis. If untreated, it can result in severe complications such as vision impairment, intracranial infection, cavernous sinus thrombosis (CST), and death. We created a simulation course to teach pediatric residents to recognize and treat this important diagnosis and its life-threatening complications.
Methods: This simulation features a 10-year-old patient who presents with eye pain and swelling due to orbital cellulitis. Learning objectives include recognizing and managing orbital cellulitis, identifying sequelae of orbital cellulitis (eg, CST), and liaising with surgical and intensive care consultants. Facilitators led a postsimulation debrief and didactic session, and participants completed an anonymous postcourse evaluation. The entire session took 60 minutes.
Results: This simulation was performed 4 different times, involving a total of 27 participants, all of whom were pediatric residents. Twenty-three participants completed the postcourse survey. The average overall course was rated 5.7/6, and participants reported that the knowledge gained from the session will be helpful to them in their practice and will help improve patient outcomes (mean = 3.9/4).
Discussion: Our simulation was well received by participants and provided them with an opportunity to learn how to manage a highly morbid complication of orbital cellulitis, a common pediatric condition. This educational session can be completed in an hour and requires no advanced preparation for participants. This simulation can be adapted to run in a low-fidelity environment across a range of medical subspecialty training programs.
(© 2026 Fune et al.)
Competing Interests: None to report.
References: Stroke. 2019 Mar;50(3):e51-e96. (PMID: 30686119)
J R Coll Physicians Edinb. 2019 Mar;49(1):52-57. (PMID: 30838994)
Ophthalmology. 2000 Aug;107(8):1450-3. (PMID: 10919886)
MedEdPORTAL. 2024 Feb 13;20:11384. (PMID: 38352651)
Am J Emerg Med. 2023 Jun;68:1-9. (PMID: 36893591)
MedEdPORTAL. 2021 Dec 13;17:11205. (PMID: 34963902)
Eur J Ophthalmol. 2022 Jul;32(4):2469-2474. (PMID: 34496676)
Pediatr Emerg Med Pract. 2019 Nov;16(11):1-20. (PMID: 31647863)
Int Ophthalmol. 2023 Mar;43(3):733-740. (PMID: 36050606)
MedEdPORTAL. 2021 Feb 17;17:11098. (PMID: 33644303)
Neurology. 2015 Sep 1;85(9):763-9. (PMID: 26231260)
Simul Healthc. 2015 Apr;10(2):106-15. (PMID: 25710312)
MedEdPORTAL. 2020 Jul 28;16:10928. (PMID: 32733995)
Int J Pediatr Otorhinolaryngol. 2018 Jul;110:123-129. (PMID: 29859573)
Contributed Indexing: Keywords: Cavernous Sinus Thrombosis; Emergency Medicine; Orbital Cellulitis; Pediatric Critical Care Medicine; Pediatric Emergency Medicine; Pediatric Infectious Diseases; Pediatrics; Simulation
Entry Date(s): Date Created: 20260828 Date Completed: 20260828 Latest Revision: 20260916
Update Code: 20260917
PubMed Central ID: PMC13518600
DOI: 10.15766/mep_2374-8265.11633
PMID: 42661905
Βάση Δεδομένων: MEDLINE
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://resolver.ebsco.com/c/fiv2js/result?sid=EBSCO:cmedm&genre=article&issn=23748265&ISBN=&volume=22&issue=&date=20260827&spage=11633&pages=11633&title=MedEdPORTAL : the journal of teaching and learning resources&atitle=Pediatric%20Orbital%20Cellulitis%20Complicated%20by%20Cavernous%20Sinus%20Thrombosis%3A%20A%20Pediatric%20Simulation%20Case%20for%20Residents.&aulast=Fune%20J&id=DOI:10.15766/mep_2374-8265.11633
    Name: Full Text Finder (for New FTF UI) (ns324271)
    Category: fullText
    Text: Full Text Finder
    MouseOverText: Full Text Finder
Header DbId: cmedm
DbLabel: MEDLINE
An: 42661905
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Pediatric Orbital Cellulitis Complicated by Cavernous Sinus Thrombosis: A Pediatric Simulation Case for Residents.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AU" term="%22Fune+J%22">Fune J</searchLink>; Assistant Professor, Division of Pediatric Hospital Medicine, Department of Pediatrics, Mount Sinai Kravis Children's Hospital.<br /><searchLink fieldCode="AU" term="%22Siegel+E%22">Siegel E</searchLink>; Assistant Professor, Division of Pediatric Hospital Medicine, Department of Pediatrics, Mount Sinai Kravis Children's Hospital.<br /><searchLink fieldCode="AU" term="%22Yang+M%22">Yang M</searchLink>; Fellow, Division of Pediatric Critical Care Medicine, Department of Pediatrics, Mount Sinai Kravis Children's Hospital.<br /><searchLink fieldCode="AU" term="%22Gillen+JK%22">Gillen JK</searchLink>; Assistant Professor, Division of Pediatric Critical Care Medicine, Department of Pediatrics, Mount Sinai Kravis Children's Hospital.<br /><searchLink fieldCode="AU" term="%22Kutzin+JM%22">Kutzin JM</searchLink>; Professor, Department of Emergency Medicine, Department of Medical Education, Icahn School of Medicine at Mount Sinai; Senior Director, Simulation, Teaching, and Research Center, Department of Emergency Medicine, The Mount Sinai Hospital.
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22101714390%22">MedEdPORTAL : the journal of teaching and learning resources</searchLink> [MedEdPORTAL] 2026 Aug 27; Vol. 22, pp. 11633. <i>Date of Electronic Publication: </i>2026 Aug 27 (<i>Print Publication: </i>2026).
– Name: TypePub
  Label: Publication Type
  Group: TypPub
  Data: Journal Article; Case Reports
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: TitleSource
  Label: Journal Info
  Group: Src
  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Association+of+American+Medical+Colleges%22">Association of American Medical Colleges </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>101714390 <i>Publication Model: </i>eCollection <i>Cited Medium: </i>Internet <i>ISSN: </i>2374-8265 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2223748265%22">23748265 </searchLink><i>NLM ISO Abbreviation: </i>MedEdPORTAL <i>Subsets: </i>MEDLINE
– Name: PublisherInfo
  Label: Imprint Name(s)
  Group: PubInfo
  Data: <i>Original Publication</i>: Washington, DC : Association of American Medical Colleges, [2005]-
– Name: SubjectMESH
  Label: MeSH Terms
  Group: Su
  Data: <searchLink fieldCode="MM" term="%22Cavernous+Sinus+Thrombosis%22">Cavernous Sinus Thrombosis*</searchLink>/<searchLink fieldCode="MM" term="%22Cavernous+Sinus+Thrombosis+etiology%22">etiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Cavernous+Sinus+Thrombosis%22">Cavernous Sinus Thrombosis*</searchLink>/<searchLink fieldCode="MM" term="%22Cavernous+Sinus+Thrombosis+complications%22">complications</searchLink> <br /><searchLink fieldCode="MM" term="%22Cavernous+Sinus+Thrombosis%22">Cavernous Sinus Thrombosis*</searchLink>/<searchLink fieldCode="MM" term="%22Cavernous+Sinus+Thrombosis+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Cavernous+Sinus+Thrombosis%22">Cavernous Sinus Thrombosis*</searchLink>/<searchLink fieldCode="MM" term="%22Cavernous+Sinus+Thrombosis+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Orbital+Cellulitis%22">Orbital Cellulitis*</searchLink>/<searchLink fieldCode="MM" term="%22Orbital+Cellulitis+complications%22">complications</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="%22Orbital+Cellulitis%22">Orbital Cellulitis*</searchLink>/<searchLink fieldCode="MM" term="%22Orbital+Cellulitis+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Pediatrics%22">Pediatrics*</searchLink>/<searchLink fieldCode="MM" term="%22Pediatrics+education%22">education</searchLink> <br /><searchLink fieldCode="MM" term="%22Pediatrics%22">Pediatrics*</searchLink>/<searchLink fieldCode="MM" term="%22Pediatrics+methods%22">methods</searchLink><br /><searchLink fieldCode="MH" term="%22Internship+and+Residency%22">Internship and Residency</searchLink>/<searchLink fieldCode="MH" term="%22Internship+and+Residency+methods%22">methods</searchLink> ; <searchLink fieldCode="MH" term="%22Simulation+Training%22">Simulation Training</searchLink>/<searchLink fieldCode="MH" term="%22Simulation+Training+methods%22">methods</searchLink> ; <searchLink fieldCode="MH" term="%22Child%22">Child</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Surveys+and+Questionnaires%22">Surveys and Questionnaires</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Orbital cellulitis is primarily a pediatric disease; although distinct from periorbital cellulitis, presenting symptoms may overlap, creating a challenge in diagnosis. If untreated, it can result in severe complications such as vision impairment, intracranial infection, cavernous sinus thrombosis (CST), and death. We created a simulation course to teach pediatric residents to recognize and treat this important diagnosis and its life-threatening complications.<br />Methods: This simulation features a 10-year-old patient who presents with eye pain and swelling due to orbital cellulitis. Learning objectives include recognizing and managing orbital cellulitis, identifying sequelae of orbital cellulitis (eg, CST), and liaising with surgical and intensive care consultants. Facilitators led a postsimulation debrief and didactic session, and participants completed an anonymous postcourse evaluation. The entire session took 60 minutes.<br />Results: This simulation was performed 4 different times, involving a total of 27 participants, all of whom were pediatric residents. Twenty-three participants completed the postcourse survey. The average overall course was rated 5.7/6, and participants reported that the knowledge gained from the session will be helpful to them in their practice and will help improve patient outcomes (mean = 3.9/4).<br />Discussion: Our simulation was well received by participants and provided them with an opportunity to learn how to manage a highly morbid complication of orbital cellulitis, a common pediatric condition. This educational session can be completed in an hour and requires no advanced preparation for participants. This simulation can be adapted to run in a low-fidelity environment across a range of medical subspecialty training programs.<br /> (© 2026 Fune et al.)
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: None to report.
– Name: Ref
  Label: References
  Group: RefInfo
  Data: Stroke. 2019 Mar;50(3):e51-e96. (PMID: <searchLink fieldCode="PM" term="%2230686119%22">30686119)</searchLink><br />J R Coll Physicians Edinb. 2019 Mar;49(1):52-57. (PMID: <searchLink fieldCode="PM" term="%2230838994%22">30838994)</searchLink><br />Ophthalmology. 2000 Aug;107(8):1450-3. (PMID: <searchLink fieldCode="PM" term="%2210919886%22">10919886)</searchLink><br />MedEdPORTAL. 2024 Feb 13;20:11384. (PMID: <searchLink fieldCode="PM" term="%2238352651%22">38352651)</searchLink><br />Am J Emerg Med. 2023 Jun;68:1-9. (PMID: <searchLink fieldCode="PM" term="%2236893591%22">36893591)</searchLink><br />MedEdPORTAL. 2021 Dec 13;17:11205. (PMID: <searchLink fieldCode="PM" term="%2234963902%22">34963902)</searchLink><br />Eur J Ophthalmol. 2022 Jul;32(4):2469-2474. (PMID: <searchLink fieldCode="PM" term="%2234496676%22">34496676)</searchLink><br />Pediatr Emerg Med Pract. 2019 Nov;16(11):1-20. (PMID: <searchLink fieldCode="PM" term="%2231647863%22">31647863)</searchLink><br />Int Ophthalmol. 2023 Mar;43(3):733-740. (PMID: <searchLink fieldCode="PM" term="%2236050606%22">36050606)</searchLink><br />MedEdPORTAL. 2021 Feb 17;17:11098. (PMID: <searchLink fieldCode="PM" term="%2233644303%22">33644303)</searchLink><br />Neurology. 2015 Sep 1;85(9):763-9. (PMID: <searchLink fieldCode="PM" term="%2226231260%22">26231260)</searchLink><br />Simul Healthc. 2015 Apr;10(2):106-15. (PMID: <searchLink fieldCode="PM" term="%2225710312%22">25710312)</searchLink><br />MedEdPORTAL. 2020 Jul 28;16:10928. (PMID: <searchLink fieldCode="PM" term="%2232733995%22">32733995)</searchLink><br />Int J Pediatr Otorhinolaryngol. 2018 Jul;110:123-129. (PMID: <searchLink fieldCode="PM" term="%2229859573%22">29859573)</searchLink>
– Name: SubjectMinor
  Label: Contributed Indexing
  Group:
  Data: <i>Keywords: </i>Cavernous Sinus Thrombosis; Emergency Medicine; Orbital Cellulitis; Pediatric Critical Care Medicine; Pediatric Emergency Medicine; Pediatric Infectious Diseases; Pediatrics; Simulation
– Name: DateEntry
  Label: Entry Date(s)
  Group: Date
  Data: <i>Date Created: </i>20260828 <i>Date Completed: </i>20260828 <i>Latest Revision: </i>20260916
– Name: DateUpdate
  Label: Update Code
  Group: Date
  Data: 20260917
– Name: PubmedCentralID
  Label: PubMed Central ID
  Group: ID
  Data: PMC13518600
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.15766/mep_2374-8265.11633
– Name: AN
  Label: PMID
  Group: ID
  Data: 42661905
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42661905
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.15766/mep_2374-8265.11633
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        StartPage: 11633
    Subjects:
      – SubjectFull: Internship and Residency methods
        Type: general
      – SubjectFull: Simulation Training methods
        Type: general
      – SubjectFull: Child
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Surveys and Questionnaires
        Type: general
      – SubjectFull: Cavernous Sinus Thrombosis etiology
        Type: general
      – SubjectFull: Cavernous Sinus Thrombosis complications
        Type: general
      – SubjectFull: Cavernous Sinus Thrombosis diagnosis
        Type: general
      – SubjectFull: Cavernous Sinus Thrombosis physiopathology
        Type: general
      – SubjectFull: Orbital Cellulitis complications
        Type: general
      – SubjectFull: Orbital Cellulitis diagnosis
        Type: general
      – SubjectFull: Orbital Cellulitis physiopathology
        Type: general
      – SubjectFull: Pediatrics education
        Type: general
      – SubjectFull: Pediatrics methods
        Type: general
    Titles:
      – TitleFull: Pediatric Orbital Cellulitis Complicated by Cavernous Sinus Thrombosis: A Pediatric Simulation Case for Residents.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Fune J
      – PersonEntity:
          Name:
            NameFull: Siegel E
      – PersonEntity:
          Name:
            NameFull: Yang M
      – PersonEntity:
          Name:
            NameFull: Gillen JK
      – PersonEntity:
          Name:
            NameFull: Kutzin JM
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 27
              M: 08
              Text: 2026 Aug 27
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 2374-8265
          Numbering:
            – Type: volume
              Value: 22
          Titles:
            – TitleFull: MedEdPORTAL : the journal of teaching and learning resources
              Type: main
ResultId 1