Orbital infections: five-year case series, literature review and guideline development

Atfeh, Mihiar; Khalil, Hisham

doi:10.1017/s0022215115001371

Cited by 29 publications

(28 citation statements)

References 20 publications

(89 reference statements)

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“…The relatively short median length of admission (2 days) compares favorably to reports from other UK centres [1,12]. Both of these papers had much smaller cohorts, 54 and 34 patients respectively, but their mean admission period was approximately 4 days in both groups.…”

Section: Discussionsupporting

confidence: 64%

“…Our unit seems to have a higher than normal number of children admitted with periorbital cellulitis compared to the reported rates in the literature; 5 children per month compared to up to 2 in previous studies [1].…”

Section: Discussioncontrasting

confidence: 57%

“…As mentioned earlier, children can be notoriously difficult to assess therefore we would not anticipate much higher conversion rates. Indeed, the smaller cohorts from the UK had comparable rates [1,12], but some North American studies appear to have less favorable rates; 30% and 24% respectively [13,14]. Of course, characterising children using the Chandler system is only possible following imaging; when children present initially they have an acutely swollen eye and accurate assessment can be challenging.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence in the literature shows some variability, depending on geographic location, but admission rates have been reported 0.3e2.0 per month [1]. Characterising the infection into pre-septal or post-septal is essential in managing these children.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Management of paediatric periorbital cellulitis: Our experience of 243 children managed according to a standardised protocol 2012–2015

Crosbie

Nairn

Kubba

2016

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionsupporting

confidence: 64%

Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of paediatric periorbital cellulitis: Our experience of 243 children managed according to a standardised protocol 2012–2015

Crosbie

Nairn

Kubba

2016

International Journal of Pediatric Otorhinolaryngology

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“…In this project, we examined the practice in our tertiary centre regarding orbital infections retrospectively for five years [26]. The data was thereafter compared to the most recently available evidence through a comprehensive literature review.…”

Section: Introductionmentioning

confidence: 99%

Orbital infections: a complete cycle 7-year audit and a management guideline

Atfeh

Singh

Khalil

2018

Eur Arch Otorhinolaryngol

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Various disciplines intersect in the management of orbital infections. Standardising the management of this condition proved to be achievable through the developed guideline. However, room for improvement in practice exists in areas such as the promptness in referring patients to specialist care, the multidisciplinary assessment of patients on admission, and the improvement of scanning requests of patients.

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A 12-Month-Old Boy With Bilateral Facial Swelling and Proptosis

2018

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A 12-month-old healthy boy was seen at the outpatient ophthalmology clinic with gradually worsening bilateral temporal facial swelling and proptosis that developed in the setting of a recent bilateral ear infection 10 days prior. He was currently being treated with oral amoxicillin. His mother reported a recent decrease in appetite, decreased feeding, increased irritability, and near-constant crying.On examination, he was inconsolable and crying. His pulse rate was 112 beats/min, blood pressure was 122/68 mm Hg, and temperature was 38.7°C. He had soft, bitemporal facial masses (Figure , A). He was proptotic and demonstrated a substantial change in his ocular appearance compared with photographs taken 4 weeks earlier that his mother brought for our review. He appeared to be orthophoric in primary gaze but had bilateral abduction deficits. His pupils were round and reactive, without an afferent pupillary defect. His anterior and posterior segment examination results were normal, without evidence of optic nerve edema or pallor. His pediatrician had obtained a complete blood cell count and head radiograph 10 days prior that were both normal. Diagnosis Metastatic neuroblastoma What to Do Next C. Admit for urgent imaging and inpatient workup DiscussionAcute-onset proptosis in a child is always concerning, and urgent imaging should be obtained. Several underlying etiologies are possible, including an orbital infection or a neoplastic process (neuroblastoma, rhabdomyosarcoma, leukemia, and Langerhans cell Bilateral facial swelling A Magnetic resonance image B * * * * *

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Orbital infections: five-year case series, literature review and guideline development

Abstract: The new multidisciplinary guideline has been finalised and approved for practice and future auditing.

Cited by 29 publications

References 20 publications

Management of paediatric periorbital cellulitis: Our experience of 243 children managed according to a standardised protocol 2012–2015

Management of paediatric periorbital cellulitis: Our experience of 243 children managed according to a standardised protocol 2012–2015

Orbital infections: a complete cycle 7-year audit and a management guideline

A 12-Month-Old Boy With Bilateral Facial Swelling and Proptosis

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