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Affiliation(s)

1. Department of Oral and Maxillofacial Surgery Unity, Hospital of Fianarantsoa, Fianarantsoa 301, Madagascar
2. Ophtalmology Unity, Hospital of Antananarivo University, Antananarivo 101, Madagascar
3. Department of Surgery , Hospital of Antananarivo, Antananarivo 101, Madagascar
4. Department of Oral and Maxillofacial Surgery Unity, Hospital of Antananarivo, Antananarivo 101, Madagascar

ABSTRACT

Introduction: Periorbital cellulitis is an inflammation of the periorbital or preseptal soft tissue due to dental infection complication. It needs emergency surgery when collected to avoid septic spreading to noble organs. Patients and methods: This is a retrospective study enrolling 24 patients operated in Maxillofacial Surgery Unit at Joseph Dieudonné RAKOTOVAO University Hospital after diagnosis of preseptal or periobital cellulitis. Collected cellulitis were treated with drainage, antibiotherapy, analgesic and local application of antiseptic solution. Dental extraction was indicated in all patients. The purpose of the study is to evaluate the efficiency of these therapeutic schemes in the treatment of periorbital cellulitis and in the limitation of complications and after-effects. Results: Age range 21 to 30 years-old was mostly concerned. Fifty eight percent were men. Palpebral inflammation and chemosis were main clinical presentation. Instead of two cases of complications, 92% patients had good outcomes. Conclusion: This study had demonstrated the efficiency of drainage plus antibiotherapy and dental extraction in the treatment of collected periorbital cellulitis.

KEYWORDS

Odontogenic orbital cellulitis, acute rhinosinusitis, orbital complication, computerized tomography, treatment.

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