Assessment of Combined Surgical Approach in a Late Case of Orbital Cellulitis

Abstract

Orbital cellulitis refers to infection of the ocular adnexal structures posterior to the orbital septum. The infection most commonly originates from the sinuses. Mucopyoceles are infected cysts of mucous content that affect the paranasal sinuses most commonly the frontal sinus. Many of these lesions have an intraorbital extension causing vision threatening ocular complication like orbital cellulitis and intracranial extension causing life threatening neurological complication like meningitis. We treated a 12-year-old female patient of acute orbital cellulitis secondary to frontoethmoidal mucopyocele with combined surgical approach- transnasal endoscopic and open surgical drainage.