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Unilateral perirobital swelling
  1. Geng Ju Tuang1,2,
  2. Farah Dayana Zahedi2,
  3. Poh Ling Lim3
  1. 1 Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Selayang, Batu Caves, Selangor, Malaysia
  2. 2 Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
  3. 3 Department of Oral Surgery, Hospital Selayang, Batu Caves, Selangor, Malaysia
  1. Correspondence to Dr Farah Dayana Zahedi, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Universiti Kebangsaan Malaysia, Cheras 56000, Kuala Lumpur, Malaysia; anna_firra82{at}yahoo.com.au

https://doi.org/10.1136/emermed-2020-210932

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    Clinical introduction

    A healthy 35-years-old man reported problem of right periorbital pain for 5 days. His condition, however, deteriorated with worsening periorbital swelling for 2 days. There was neither history of nasal symptoms nor recent local trauma.

    Physical examination demonstrated an erythematous and shiny right periorbital skin (figure 1). It was soft and tender on palpation, suggestive of periorbital cellulitis. The extraocular muscle movement, lacrimal sac examination and visual acuity were normal. He had poor dental hygiene, with tenderness elicited over the right upper second and third molar on percussion test. His orthopantomography (OPG) is shown in figure 2.

    Figure 1

    Clinical photography of the eyes. The skin overlying the right periorbital region is inflamed …

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    Footnotes

    • Contributors GJT was responsible in manuscript drafting and writing, manuscript concept and design, data collection and/or processing. PLL was responsible in manuscript drafting, manuscript consept and design. FDZ supervised the process and gave final approval the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; internally peer reviewed.