Orbital cellulitis in a patient 30 years after Caldwell-Luc surgery

Introduction:

Orbital cellulitis is a rare inflammatory condition that primarily affects pediatric patients as a complication of acute bacterial infections of the paranasal sinuses. Although there has been a decrease in these complications due to antibiotic therapy, it is a condition that endangers the patient's vision and it is potentially life-threatening condition. Early and appropriate treatment is necessary.

Case study:

Our case presents a patient who developed orbital cellulitis 30 years after undergoing Caldwell-Luc surgery. The patient with subfebrile temperature was examined at our clinic with a week-long history of increasing pain, swelling and redness in the left eye. There was no nasal symptoms. During the eye examination, limited motility and protrusion of the eyeball and diplopia in extreme positions were confirmed. On the CT scan there was an abscess collection in the left maxillary sinus with extension into the left orbit and destruction of the orbit's floor skeleton.

Results:

The patient underwent endoscopic surgical treatment at our clinic on the same day. Within two days post-surgery, there was a significant improvement in symptoms, and after one week the patient was completely free of any complications.

Discussion:

The aim of this case study is to highlight the importance of obtaining a full medical history, accurate diagnosis, and appropriate therapeutic approach. Furthermore, interdisciplinary collaboration between otolaryngologists, ophthalmologists and radiologists is crucial.

The authors declare that there is no conflict of interest.