Orbital cellulitis as a complication of odontogenic infection


Puji Yuli Christiani Purba(1*), Melita Sylvyana(2), Endang Syamsudin(3), Rani Septrina(4)

(1) Study Program of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjajaran University, Bandung, West Java
(2) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjajaran University, Bandung, West Java
(3) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjajaran University, Bandung, West Java
(4) Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Padjajaran University, Bandung, West Java
(*) Corresponding Author


Orbital cellulitis is uncommon sequelae of the spread of odontogenic infection to adjacent maxillary sinuses or to distant sites such as the orbits. Once it happened, the spread of such infection can be of serious complication such as complete blindness or even more serious and life threatening situations as cavernous sinus thrombosis, intra-cranial abscess, or even death. This paper aimed to expose the guideline treatment of orbital cellulitis as a complication of odontogenic infection. It reported one case of orbital cellulitis in the emergency unit of Hasan Sadikin hospital Bandung, with complaints of pain, swelling at cheek and periorbital region, and the history of toothache. The treatment include incision drainage, extraction of tooth, and parenteral administration of antibiotic and analgesic. Odontogenic infections are derived from dental infection and can potentially spread rapidly to be ascending infection like orbital cellulitis. Odontogenic infection and orbital cellulitis should be adequately treated with incision drainage, extraction of tooth and parenteral administration of antibiotic, steroid and analgesic. Without immediate treatment, odontogenic infection can lead to ascending infection. Orbital cellulitis due to spreading of odontogenic infection is a rare case. In this case report, the patient had a significant
improvement due to immediate and proper treatment.


ascending infection; odontogenic infection; orbital cellulitis

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1. Mallika OU, Sujatha N, Smitha NMS, Sinumol S. Orbital and preseptal cellulitis. Kerala
Journal of Ophthalmology. 2011; 23(1): 10-14.

2. Hupp JR, Ferneini EM. Head, neck and orofacial infections: an interdisciplinary
approach. Missouri: Elsevier; 2016. 496.

3. Yeh CH, Chen WC, Lin MS, Huang HT, Chao SC, Lo YC. Intracranial brain abscess
preceded by orbital cellulitis and sinusitis. J Craniofac Surg. 2010; 21(3): 934–936. doi: 10.1097/SCS.0b013e3181d84124.

4. Imtiaz AC, Al-Rashed W, Arat YO. The hot orbit: orbital cellulitis. Middle East African
Journal of Opthalmology. 2012; 9(1): 34-42. doi: 10.4103/0974-9233.92114

5. Ogle OE. Odontogenic infections. Dent Clin North Am. 2017; 61(2): 235–252. doi: 10.1016/j.cden.2016.11.004.

6. Borle RM. Textbook of Oral and Maxilofacial Surgery. Jaypee Brothers Medical Publishers.
New Delhi; 2014.

7. DeCroos FC, Liao JC, Ramey NA, Li I. Management of odontogenic orbital cellulitis.
Journal of Medicine and Life. 2011; (4)3: 314-317.

8. Yan W, Chakrabarti R, Choong J, Hardy T. Orbital Cellulitis of Odontogenic Origin. Orbit.

9. Pushker N, Tejwani LK, Bajaj MS, Khurana S, Velpandian T, Chandra M. Role of Oral
Corticosteroid in Orbital Cellulitis. AM J OphthalmolI. 2013; 156(1): 178-183.

10. Teweldemedhin M, Saravanan M, Gebreyesus A, Gebreegziabiher D. Ocular bacterial
infections at quiha ophthalmic hospital, Northern Ethiopia: an evaluation according to the risk factors and the antimicrobial susceptibility of bacterial isolates. BMC Infect Dis 17. 2017; 17(1): 207. doi:10.1186/s12879-017-2304-1

11. Bourlidou E, Kyrgidis A, Venetis G, Panacleridou T, Mangoudi D. Orbital abscess and inflammation of odontogenic origin. J Pak Med Stud. 2012; 2(3): 92-97.

12. Nawaz KK. Management of facial space infection in a 9-year old child – a case report.
International Journal of Clinical Oral and Maxillofacial Surgery. 2016; 2(1): 1-4. doi:

DOI: https://doi.org/10.22146/majkedgiind.37802

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