Who should manage acute periorbital cellulitis in children?

Upile, Navdeep; Munir, Nazia; Leong, Samuel; Swift, A. C.

doi:10.1016/j.ijporl.2012.04.012

Cited by 26 publications

(39 citation statements)

References 14 publications

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“…Orbital tissue infections are not as rare in children as presumed and some studies have reported 0.3-1.31 hospital admissions monthly (6). They most commonly occur between the ages of four months and 16 years (the mean age has been reported as 5.8 years) (7,8). The ages of our patients ranged between five months and 14 years, similar to the literature, and the mean age was found as 71.43±42.24 months.…”

Section: Discussionsupporting

confidence: 87%

Evaluation of patients with orbital infections

et al. 2018

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Aim: Orbital tissue infections are common infections of childhood that can lead to severe complications. Herein, we aimed to evaluate the etiologic factors, diagnosis, follow-up, and treatment procedures in pediatric patients with orbital infections. Material and Methods:This study was performed retrospectively between January 2014 and December 2015 in Cerrahpasa Medical Faculty Pediatric Infectious Disease Unit. Patients were studied for age, ophthalmologic examination features, laboratory and radiology results, treatment modalities, and the response to these treatments.Results: Thirty-six patients (21 males, 15 females) with an average age of 71.43±42.24 months (5-168 months) participated in the study in the two-year period. Thirty-two patients (88.9%) had preseptal cellulitis, and four (11.9%) had orbital cellulitis. All patients had eyelid hyperemia, edema, and ocular pain, with chemosis in seven and proptosis in four cases. Twenty-five patients were admitted with fever. All cases were unilateral and 44.4% occurred secondary to paranasal sinusitis. All cases were treated with intravenous cefazolin-amikacin. The mean of duration of hospitalization was 12.02±8.75 days (range, 3-28 days) and the duration of parental antibiotics was 12.83±8.18 days (range, 7-21 days). All patients recovered without any vision loss, only one patient experienced subdural empyema complicating preseptal cellulitis. Conclusions:Most orbital tissue infections occur secondary to paranasal sinusitis in childhood. Orbital tissue infections can be complicated by brain abscess, cavernous sinus thrombophlebitis, and vision loss. Early diagnosis and proper antibiotic treatment are essential to prevent these life-threatening complications.

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Section: Discussionsupporting

confidence: 87%

Evaluation of patients with orbital infections

et al. 2018

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“…[1][2][3] The incidence of this condition varies widely 1 ; for example, one review showed an incidence range of 0.3-1.31 cases per month at specialist tertiary centres. Published reports contain clear variations in the terminology used to describe this spectrum of sepsis.…”

Section: Introductionmentioning

confidence: 99%

“…[8][9][10] The infection, hence, is classified as preseptal (periorbital) or postseptal (orbital) according to its location relative to the orbital septum. 1,8,11,12 The most common primary source of infection (60-90 per cent) is the paranasal sinuses, 1,13 mainly the ethmoid and maxillary sinuses. Chandler et al published the most commonly used system of classification of orbital and periorbital infections based on disease extent and severity (Table I).…”

Section: Introductionmentioning

confidence: 99%

“…3,9,10 Abscess formation can be also classified as subperiosteal or intraorbital. 1,[13][14][15][16] Other sources include infections of the adjacent orbital, cranial and facial structures. 1,8,11,12 The most common primary source of infection (60-90 per cent) is the paranasal sinuses, 1,13 mainly the ethmoid and maxillary sinuses.…”

Section: Introductionmentioning

confidence: 99%

“…1,8,11,12 The most common primary source of infection (60-90 per cent) is the paranasal sinuses, 1,13 mainly the ethmoid and maxillary sinuses. 1 The microbiology of orbital cellulitis seems to be changing. 13,16 The infection spreads mainly via the thinned lamina papyracea, localised dissemination of cellulitis and the communicating blood vessels.…”

Section: Introductionmentioning

confidence: 99%

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