Facial trauma aggravating paediatric orbital cellulitis

BMJ Case Rep. 2020 Apr 20;13(4):e233230. doi: 10.1136/bcr-2019-233230.


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.

Keywords: ear, nose and throat/otolaryngology; ophthalmology; otolaryngology / ENT.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnostic imaging*
  • Adolescent
  • Anti-Bacterial Agents / therapeutic use
  • Drainage / methods
  • Edema / diagnostic imaging*
  • Facial Injuries / complications*
  • Female
  • Humans
  • Orbital Cellulitis / etiology*
  • Orbital Cellulitis / therapy
  • Treatment Outcome
  • Wounds, Nonpenetrating / complications*


  • Anti-Bacterial Agents