A Case of Deep Neck Infecton Followed by Orbital Cellulitis / 대한이비인후과학회지

Orbital cellulitis implies acute suppurative inflammation involving anterior and posterior portion of orbital septum. In most cases, these are either extended from adjacent dermal cellulitis or paranasal sinusitis according to the anatomic characteristics of orbit. The authors experienced a unique case of deep neck infection, which was immediately followed by orbital cellulitis without paranasal sinusitis. The patient was treated with aggressive antibiotics without any problems. The authors report the case with literature review.

Primary Facial Skin Cancer: Clinical Characteristics and Surgical Outcome in Chungbuk Province, Korea

Clinical features of facial skin cancer in Asian population including Korean are not readily available. In the present study, we analyzed the clinical characteristics and the surgical results of primary facial skin cancer in Chungbuk Province, Korea. Eighty-six cases of primary facial skin cancer collected during a 10-yr period (1994-2003) were retrospectively reviewed about the clinical characteristics including age, sex, annual diagnostic rate, types of tumor, specific sites of occurrence, and the surgical results. The average age at the diagnosis was 67 and male to female ratio was 1 to 1.05. The average annual diagnostic rate was 0.73% and the rate surged during the period 2001-2003 compared with the period 1994 to 2000. Basal cell carcinoma was the most common tumor and the nose was the most frequent site. Traditional surgical excision with immediate reconstruction was performed in 81 cases. During the 23 months of average follow-up, three patients had recurrences (3.7%) and three patients had secondary skin cancers. Facial skin cancer is increasing in the province and basal cell carcinoma is most frequent. Traditional surgical excision and immediate reconstruction with local flap are a good therapeutic modality with an acceptable recurrence rate.