Facial danger triangle

New warnings are issued after a woman developed cellulitis after popping what she thought was a pimple on a sensitive part of her face. Now, a new tale just might make you think twice before putting a bump in the crosshairs of your tweezers or fingernails. Last month, Katie Wright began picking at what she thought was a pimple under the skin of her eyebrow. She sought medical treatment and learned that what she believed was a bothersome pimple on her face was in fact a severe infection.
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The Dangerous Triangle (Still Dangerous)

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Cavernous Sinus Thrombosis of Nasal Origin in Children

Los Angeles. To the Editor:— "It's just a pimple, doctor," and "my nose has a tender spot," are common complaints. The following case demonstrates that, even with modern drugs, infections in this area should be regarded as serious, even emergent. Report of a Case:— A year-old woman was first seen by a physician Jan 13, , with the report that she had plucked some nasal hairs two days before. This was followed by edema and soreness around the dorsum of the nose. The patient received penicillin intramuscularly and was instructed to place hot packs on the nose.
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Cavernous Sinus Thrombosis of Nasal Origin in Children

The danger triangle of the face consists of the area from the corners of the mouth to the bridge of the nose , including the nose and maxilla. This is possible because of venous communication via the ophthalmic veins between the facial vein and the cavernous sinus. The cavernous sinus lies within the cranial cavity , between layers of the meninges and is a major conduit of venous drainage from the brain. It was discovered that venous valves are present in the ophthalmic and facial veins.
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Cavernous sinus thrombosis CST is a rare, life-threatening disorder that can complicate facial infection, sinusitis, orbital cellulitis, pharyngitis, or otitis or following traumatic injury or surgery, especially in the setting of a thrombophilic disorder. Early recognition of cavernous sinus thrombosis which, often presents with fever, headache, eye findings such as periorbital swelling, and ophthalmoplegia, is critical for a good outcome. Despite modern treatment with antibiotics and anticoagulation, the risk of long-term sequelae, such as vision, diplopia, and stroke, remains significant. Cavernous sinus thrombosis is usually septic, but can also be aseptic.
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