Acute periorbital swelling: Evaluation of management protocol

Dudin, Anwar; Othman, Abdullah

doi:10.1097/00006565-199602000-00005

Cited by 17 publications

(20 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hastalardan hemogram, sedimantasyon ve gerekirse kan kültürü örnekleri al›nmas› önerilmektedir. Kan kültürü pozitifli¤i çocuklarda %0-33 aras›nda oldu¤u için 3 ay›n üzerindeki hastalardan al›nmamas› gerekti¤ini belirten çal›flmalar mevcuttur (3,14,15). Bizim çal›flmam›zda hiçbir hastadan kan kültürü al›nmam›flt›r.…”

Section: Tart›flmaunclassified

Diagnosis and Treatment of Preseptal Cellulitis in the Pediatric age Group

Berk¹,

Ayhan²,

Yaman³

et al. 2010

tod

View full text Add to dashboard Cite

ÖzetAmaç: Çocukluk yafl grubunda periorbital sellülite neden olan etiyolojik faktörlerin, hastal›¤›n tan›, takip ve tedavisinin de¤erlendirilmesi. Gereç ve Yöntem: Retrospektif dosya çal›flmas›. Sonuçlar: [2003][2004][2005][2006][2007] tarihleri aras›nda klini¤imize baflvuran preseptal sellülit tan›s› alan 30 hasta çal›flmaya al›nd›. Hastalar›n 16'si k›z, 14'ü erkekti. Ortalama yafl 4,29 y›ld›. (9 ay-11 yafl). Yirmidokuz hastada tek tarafl›, 1 hastada iki tarafl› preseptal sellülit saptand›. Etiyolojik aç›dan en s›k akut sinüzit (% 63,3) ve herpetik blefarokonjonktivit (%23,3) saptand›. Bilateral preseptal sellüliti olan hastam›zda enflamasyonun al›n bölgesinden di¤er göze yay›ld›¤› görüldü. Bilgisayarl› tomografi (BT) ile görüntülemesi yap›lan 13 hastada en s›k etmoidal ve maksiller sinüzit gözlendi. Onsekiz hastaya sadece genifl spektrumlu intravenöz (IV) antibiyotik tedavi, 1 hastaya da efl zamanl› abse boflalt›m› yap›ld›. Onbir hastaya oral medikasyon verildi. ‹ntravenöz tedavi alan hastalar yat›r›larak tedavi edildi. Tedavi sonras› 1 hastaya dakriosistorinostomi operasyonu, 1 hastaya da tüp implantasyon cerrahisi yap›ld›. Hastalar›n takibinde komplikasyon izlenmedi. Tart›flma: Periorbital bölgenin mikrobiyal enfeksiyonlar›, genellikle çocuk ve genç eriflkinlerde sinüzit komplikasyonu olarak karfl›m›za ç›kmaktad›r. Tedavinin geç yap›ld›¤› veya yetersiz oldu¤u durumlarda görmeyi veya hayat› tehdit edebilen komplikasyonlara (beyin absesi, menenjit veya kavernöz sinüs trombozu vs.) neden olabilece¤inden preseptal sellülitlerin erken tan› ve tedavisi büyük önem tafl›maktad›r. (TOD Dergisi 2010; 40: 227-31) Anahtar Kelimeler: Preseptal sellülit, akut sinüzit Summary Purpose: To report clinical features, etiology, management practices and outcomes of preseptal cellulitis in the pediatric age group. Material and Method: Retrospective chart review study. Result: The charts of 30 pediatric patients with preseptal cellulitis at Dokuz Eylül University Hospital from 2003 to 2007 were reviewed. 16 patients were female and 14 were male with a mean age of 4.28 years at presentation (min:9 months, max:11 years).Unilateral preseptal cellulitis was observed in 29 patients, while bilateral preseptal cellulitis was seen in one. The most common antecedent factors were acute sinusitis (63.3%) and herpetic blepharoconjunctivitis (23.3%). Inflammation overspread from the forehead to the other periorbital area in the patient with bilateral preseptal cellulitis. Thirteen patients underwent computed tomography examination, and ethmoidal and maxillary sinusites were most frequently observed. Eighteen patients were treated only with intravenous antibiotics, which were combined with surgical drainage because of abscess in one patient. Eleven patients were receiving oral antibiotics. Patients treated with intravenous antibiotics were hospitalized. Dacryocystorhinostomy and bicanalicular silicone tube implantation surgery were performed in 2 patients after treatment. Complete resolution without complication was achieved. Discussion: Perior...

show abstract

Section: Tart›flmaunclassified

Diagnosis and Treatment of Preseptal Cellulitis in the Pediatric age Group

Berk¹,

Ayhan²,

Yaman³

et al. 2010

tod

View full text Add to dashboard Cite

show abstract

“…However, orbital cellulitis was eliminated from consideration on the basis that it is usually unilateral, subacute, and associated with diplopia and conjunctival injection, none of which the patient had. 12,13 Rhinocerebral mucormycosis and aspergillosis are two fungal infections that can cause facial swelling. However, progression of the disease is not usually as rapid as seen in this patient and they are generally seen in immunocompromised patients.…”

Section: Faculty Discussionmentioning

confidence: 99%

“…It is the most feared complication of paranasal infections and facial furuncles, with a 50% mortality. 13,18 Infection spreads from nose through the angular vein to the cavernous sinus, where septic thrombosis occurs. Ocular palsies sometimes occur involving nerves in the cavernous sinus, which include the oculomotor (III), trochlear (IV), trigeminal (V), and abducens (VI) nerves.…”

Section: Faculty Discussionmentioning

confidence: 99%

Clinicopathological Conference: Sudden‐onset Facial Edema in an Autistic Child

Nelson

Roldán

2000

Academic Emergency Medicine

View full text Add to dashboard Cite

A 13-year-old male arrived to the emergency department (ED) via ambulance for an acute allergic reaction. The child had been in his usual state of health until five days prior to the date of admission, when he began vomiting. He was seen two days prior to admission at an outlying clinic, which diagnosed him as having sinusitis and a urinary tract infection. He was initially prescribed amoxicillin with clavulanate. His antibiotic was changed to amoxicillin on the day of admission, because it was thought that his vomiting was from the clavulanate component. Upon receiving the first dose of amoxicillin, he vomited coffee-ground-colored material, and he was noted to have edema of the face. Emergency medical services were called, the patient was treated in the field with diphenhydramine intramuscularly, and he was transported to the ED.The patient's medical history was significant for autism with self-mutilating behavior and mental retardation. No surgical or allergic history was reported. On physical examination the heart rate was 100 beats/min, the respiratory rate was 12 breaths/min, the blood pressure was 88/52 mm Hg, the temperature was 99.8ЊF, and pulse oximetry was 99% on room air. The patient's general appearance was that of an uncomfortable, weak-looking male, with extensive edema of the face. The head, ears, nose, and throat examination was significant for the massive edema and erythema with the eyes closed secondary to the edema; the nasal mucosa was edematous; the oral mucosa was dry and the pharynx was not well visualized. The ear canals were obstructed by wax. The neck was supple. The cardiovascular examination was normal except for the tachycardia. The lungs were clear bilaterally with equal breath sounds. The abdominal examination was normal. The extremities had no cyanosis or edema; there was some evidence of old trauma. The capillary refill was 2 seconds. Though the patient was uncooperative, there was no focality identified on the neurologic exam. Laboratory testing revealed the following: white blood cell count of 29,000/mm 3 with a differential of 88% neutrophils, 4% lymphocytes, and 7% monocytes; a sodium of 148 mmol/L, a potassium of 4.0 mmol/L, a chloride of 94 mmol/L, a bicarbonate of 25 mmol/L, a glucose of 237 mg/dL, a BUN of 70 mg/dL, and a creatinine of 2.8 mg/dL.The patient was taken to the resuscitation area of the ED and placed on a cardiac monitor with pulse oximetry. Three doses of epinephrine, 0.3 mL (1:1,000), were administered subcutaneously and two boluses of 20 mL /kg of normal saline were given intravenously. The patient was initially diagnosed as having an anaphylactoid reaction, dehydration with renal failure, and gastritis. His vital signs stabilized after initial resuscitation and he was started on maintenance fluids. He was admitted to the pediatric intensive care unit (PICU), where he received maintenance intravenous hydration with D 5 1/3NS, diphenhydramine, and methylprednisolone intravenously every six hours, and ranitidine intravenously every eight hours. An immunolog...

show abstract

“…Streptococcus species are more frequently seen in preseptal and orbital cellulitis (20) . In an analysis of 30 patients with orbital SPA, the predominant pathogens were S. pneumoniae, S pyogenes, and H. influenza (21) . Anaerobic organisms are generally associated with chronic sinusitis (22) .…”

Section: Di̇scussi̇onmentioning

confidence: 99%

Managment of orbital complications of sinusitis

Özkurt

Gül

et al. 2014

Arquivos Brasileiros De Oftalmologia

View full text Add to dashboard Cite

Approval of the research ethics committee: Dicle University Medical Faculty Ethics Committee for Noninterventional Studies-2014/139. ABSTRACT Purpose:We reported on the clinical approaches of ophthalmology and otorhinolaryngology departments in the treatment of the orbital complications of sinusitis. We also included an in-depth literature review. Methods: We retrospectively reviewed the medical files of 51 patients from January 2008 to January 2014. The records were evaluated for age, gender, type of orbital complications, symptoms, predisposing factors, imaging studies, medical and surgical management, culture results, and follow-up information. SPSS version 15.0 software (Statistical Analysis, The Statistical Package for Social Sciences Inc, Chicago, IL) was used for the statistical analysis. Results: Fifty-one patients met the criteria, with available medical records, for the study (29 male, 22 female). Thirty-two (62.7%) were diagnosed with preseptal cellulitis and 19 (37.3%) with postseptal cellulitis. After a detailed evaluation, 15 were diagnosed with a subperiosteal abscess (SPA), and 4 were diagnosed with orbital cellulitis. The age and gender was similar for the two groups. Five patients with medial SPA were treated with endoscopic sinus surgery, one patient with inferior SPA was treated with external surgery, and six patients with other localizations were treated with a combination of endoscopic sinus surgery and external surgery. All patients presented with periorbital erythema and edema. The length of hospitalization and duration of symptoms were similar in both groups. Visual acuity was between 1/10 to 10/10 (mean 7/10) and statistically significant for preseptal and postseptal cellulitis groups (p<0.001). All patients received intravenous antibiotics upon the first day of admission. Conclusion: Orbital complications of acute sinusitis required intensive follow-up and a multidisciplinary approach. A contrast-enhanced paranasal sinus computerized tomography (CT) scan can detect the extent of the infection. An initial trial of intravenosus (IV) antibiotics may be appropriate when close monitoring is possible. Surgery may be indicated when there has been no improvement within 48 hours of intravenous treatment, loss of visual acuity (under 8/10), and a non-medial abscess.

show abstract

Acute periorbital swelling: Evaluation of management protocol

Cited by 17 publications

References 0 publications

Diagnosis and Treatment of Preseptal Cellulitis in the Pediatric age Group

Diagnosis and Treatment of Preseptal Cellulitis in the Pediatric age Group

Clinicopathological Conference: Sudden‐onset Facial Edema in an Autistic Child

Managment of orbital complications of sinusitis

Contact Info

Product

Resources

About