title: Bilateral orbital preseptal cellulitis after combined adenotonsillectomy and strabismus surgery--case report and pathogenetic hypothesis.
abstract: The first case of bilateral orbital preseptal cellulitis complicating combined adenotonsillectomy and strabismus surgery is reported. The issues of antimicrobial prophylaxis are discussed. The authors speculate about the possible routes of surgical site infection. Transient bacteraemia secondary to adenotonsillectomy may be theoretically a source of distant surgical site infection to the orbit, raising the issue of distant surgical site contamination during multidisciplinary surgery. Combined adenotonsillectomy and eye surgery might benefit from prophylactic systemic antibiotic administration.
authors.affiliation: Audiology and ENT Unit, Department of Pediatrics, Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Via dell'Istria 65/1, 34137 Trieste, Italy. muzzi@burlo.trieste.it
authors.forename: E
authors.initials: E
authors.lastname: Muzzi
authors.forename: F
authors.initials: F
authors.lastname: Parentin
authors.forename: G
authors.initials: G
authors.lastname: Pelos
authors.forename: D L
authors.initials: DL
authors.lastname: Grasso
authors.forename: L
authors.initials: L
authors.lastname: Lora
authors.forename: F
authors.initials: F
authors.lastname: Trabalzini
authors.forename: S
authors.initials: S
authors.lastname: Pensiero
authors.forename: E
authors.initials: E
authors.lastname: Orzan
mesh_terms: D000233:Adenoidectomy / Q000009:adverse effects*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002675:Child, Preschool; D003907:Dexamethasone / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D015242:Ofloxacin / Q000627:therapeutic use; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D054517:Orbital Cellulitis / Q000188:drug therapy / Q000209:etiology*; D013285:Strabismus / Q000601:surgery*; D014031:Tobramycin / Q000627:therapeutic use; D014068:Tonsillectomy / Q000009:adverse effects*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D002443:Ceftriaxone; D003907:Dexamethasone; D015242:Ofloxacin; D014031:Tobramycin