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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. (Korean J Otolaryngol 2006;49:118-21)