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Record W4410550392 · doi:10.1080/01676830.2025.2507379

Atypical pediatric orbital cellulitis with cavernous sinus thrombosis and petrous apicitis: a case report

2025· article· en· W4410550392 on OpenAlex
Bryan M. Wong, Muhannad A. Alnahdi, Kenneth Chang, Manohar Shroff, Georges Nassrallah

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueOrbit · 2025
Typearticle
Languageen
FieldMedicine
TopicSinusitis and nasal conditions
Canadian institutionsHospital for Sick ChildrenUniversity of Toronto
Fundersnot available
KeywordsMedicineOrbital cellulitisCavernous sinus thrombosisCavernous sinusOrbit (dynamics)ThrombosisSurgeryCellulitisRadiology

Abstract

fetched live from OpenAlex

Orbital cellulitis is a serious vision and potentially life-threatening condition. In this case report, we present a 3-year-old boy who was admitted with orbital cellulitis, complicated by an intraconal orbital abscess, cavernous sinus thrombosis, petrous apicitis, labyrinthitis, and mastoiditis. There was no paranasal sinusitis, which is the most common cause of orbital cellulitis. His condition initially did not improve with intravenous antibiotics, but gradually improved after drainage of the orbital abscess with anticoagulant followed by corticosteroid therapy. We illustrate the importance of having a broad differential in atypical cases of orbital cellulitis, as well as the value of having a multidisciplinary approach to maximize favorable outcomes in these complex cases.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.280
Threshold uncertainty score0.583

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.014
GPT teacher head0.275
Teacher spread0.261 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it