Paediatric post-septal and pre-septal cellulitis: 10 years' experience at a tertiary-level children's hospital

Abstract

We recommend that all patients with a suspected diagnosis of post-SC should undergo CT scan (post-contrast orbits and post-contrast head, with multiplanar reformats and a careful review of the SOV and the cavernous sinus). Particular attention should be paid to exclude intracranial complications including subdural empyema and cerebral abscess. As soon as a diagnosis of post-SC is made, in addition to informing the referring clinical team, urgent opinion should be sought from ear, nose and throat (ENT), neurology and ophthalmology with a view to urgently drain of the paranasal sinuses`.

Management of Periorbital and Orbital Cellulitis at the Pediatric Emergency Department

“…Neither ultrasound nor MRI was prescribed in our study. In majority of the studies, sinusitis especially ethmoidal ones were a main predisposing factor [4,6,11,14,18,19,29]. This matches our study where sinusitis dominated (29%) where ethmoid sinusitis came rst (63%).…”

“…Whiles they're important in retroseptal cellulitis and that can lead to visual complications even fatal ones. It can be di cult to differentiate the two forms; consequently, paraclinical examinations are necessary to con rm the diagnosis and evaluate the complications [2,18,19]. The Chandler classi cation gives us a bene t of precising the infection's stage [2].…”

Left subperiosteal abscess with contralateral preseptal cellulitis: A case report

“…Blindness could happen in approximately 1% of patients with orbital cellulitis [1] . Nageswaran et al found that 98% of their patients with orbital cellulitis were affected by ethmoidal sinusitis and 71% by maxillary sinusitis, respectively.…”

“…Howe and Jones recommended a computer tomography scan to be performed in patients where full evaluation of the eye is not possible because of gross edema, gross proptosis, opthalmoplegia, deteriorating visual acuity or color vision or bilateral periorbital oedema [1] . Nevertheless, even if preseptal cellulitis is presented, CT scan is recommended due to the rapid progression of the disease.…”

“…The potential for loss of vision and the devastating morbidity associated with an SPA immediate surgical drainage is recommended when there is [1] impairment of vision, [2] worsening of the visual examination results (periorbital erythema or edema, proptosis, and restriction of gaze), [3] any sign of systemic manifestation or complication, [4] an inability to perform a reliable and serial ophthalmologic examination, [5] an immunocompromised patient, and…”