Acute Inflammations of the Orbit in Children

Gamble, Richard C.

doi:10.1001/archopht.1933.00830050059008

Cited by 66 publications

(21 citation statements)

References 6 publications

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“…Because of the effectiveness of antibacterial therapy, only three cases required surgical intervention. Mortality rate of orbital cellulitis was reported as 17% which was associated with blindness before the antibiotic era 19 . Nowadays, orbital cellulitis results in loss of vision, and death in 3-11, and 1-2 % of the patients, respectively 20 .…”

Section: Discussionmentioning

confidence: 99%

Clinical features and outcome of preseptal and orbital cellulitis in hospitalized children: Four years experience

Demir¹

2017

MMJ

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Section: Discussionmentioning

confidence: 99%

Clinical features and outcome of preseptal and orbital cellulitis in hospitalized children: Four years experience

Demir¹

2017

MMJ

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“…Orbital and/or intracranial sequelae are the most dangerous complications of sinusitis [5,17], with SPA representing the most common orbital complication. While the exact incidence of these complications is unknown, they may represent between 1 and 3% of sinus infections, occurring more commonly in children than in adults [9,14,30].…”

Section: Discussionmentioning

confidence: 99%

Transnasal endoscopic drainage of a medial subperiosteal orbital abscess

Kessler

Berenholz

Segal

1998

European Archives of Oto-Rhino-Laryngology

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The exact incidence of orbital complications due to sinusitis in children is unknown. However, a medial subperiosteal orbital abscess is the most common serious complication to occur. Surgical intervention is mandatory whenever antibiotic treatment fails. Most authors prefer open surgical procedures such as external ethmoidectomy, while others recommend transnasal endoscopic drainage as the first attempt at sinus decompression. Five out of 12 children with proven subperiosteal orbital abscess and sinusitis on computed tomographic scans failed antibiotic treatment and required surgical drainage. Transnasal endoscopic drainage of the abscess was performed on four patients, while one child underwent external ethmoidectomy. Our experience with endoscopic surgery in these four cases is discussed, along with a brief review of the advantage of this procedure over external surgery.

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“…This is mainly caused by the close anatomical relations between the eye orbit cavity and the ethmoid sinuses, as well as to the frailty of the ethmoid-orbit wall, especially in children 8,9 . It is estimated that sinusitis complications before the time of antibiotics occurred in 1 for each 5 patients, and the rates of both morbidity and mortality related to orbitary cellulites were very high; from 17 to 20% of these patients died because of meningitis or ended up with some permanent visual impairment in the affected eye [10][11][12][13] . Currently, these sequels do not reach 5% of the cases.…”

Section: Introductionmentioning

confidence: 99%

“…Since sinusitis was not easily diagnosed before the time of antibiotics, orbitary sinusitis was associated to sinus problems 10 . Today, it is believed that this ratio is of about 70% and that 60 to 80% of orbitary inflammatory diseases come from the sinuses.…”

Section: Introductionmentioning

confidence: 99%

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Sinusite aguda em crianças: estudo retrospectivo de complicações orbitárias

Neto

Pignatari

Mitsuda

et al. 2007

Rev. Bras. Otorrinolaringol.

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Among the complications of sinusitis, those that involve the orbital region are the most frequent. Aim: the objective of this paper is to show an incidence of orbital cellulites (OC) secondary to acute sinusitis in children. Study design: retrospective. Methods: After board approval, the charts of all pediatric patients diagnosed with orbital complications secondary to sinusitis, seen at the Pediatric and at the ENT clinics of the HPEV, between 1985 and 2004, were evaluated. The data was analyzed considering gender, age, clinical presentation, period of hospitalization, image study, and treatment. Results: from 1985 to 2004, 25 patients were diagnosed with OC secondary to sinusitis, presenting an incidence of 6% . Males predominated, the median age was 6.5 years, and the maxillary was the most frequently involved sinus. Twenty-four patients presented mild periorbital swallowing. All 25 patients presented X-Ray alterations. One patient with proptosis had a subperiosteal abcess seen on the CT-scan. The average time of hospitalization was 4 days. All 25 patients received IV antibiotics, 2 required surgery. Conclusion: The incidence of orbital complications secondary to sinusitis is low, and although the majority of cases are early diagnosed and respond well to medication treatment, a surgical intervention may be required.

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Acute Inflammations of the Orbit in Children

Cited by 66 publications

References 6 publications

Clinical features and outcome of preseptal and orbital cellulitis in hospitalized children: Four years experience

Clinical features and outcome of preseptal and orbital cellulitis in hospitalized children: Four years experience

Transnasal endoscopic drainage of a medial subperiosteal orbital abscess

Sinusite aguda em crianças: estudo retrospectivo de complicações orbitárias

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