Orbital cellulitis in children
Purpose: To review cases and make an effort to explore changes in diagnostic and management trends in children with orbital cellulitis. Methods: Noncomparative, retrospective case series. Medical records of children <18 years old with radiological and clinical confirmation of orbital cellulitis w...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2010-10-01
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| Series: | Delhi Journal of Ophthalmology |
| Online Access: | https://journals.lww.com/10.4103/0972-0200.377302 |
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| Summary: | Purpose:
To review cases and make an effort to explore changes in diagnostic and management trends in children with orbital cellulitis.
Methods:
Noncomparative, retrospective case series. Medical records of children <18 years old with radiological and clinical confirmation of orbital cellulitis with postseptal inflammation were assessed.
Results:
Nine pediatric patients were recognized for the study. The mean age was 5.5 yrs. 7patients were males and 6 had right orbital involvement. All the patients had chemosis, congestion, lid swelling, proptosis, restriction of movement. Most common predisposing event was sinusitis in 4 patients. 4 had orbital abscess. CT scan was the most comprehensive imaging technique in patients with suspected orbital infection. 4 patients had surgical intervention for drainage of pus and 3 underwent endoscopic sinus surgery for drainage of sinuses. Visual acquity improved in 6 cases. The average hospital stay was 18 days. The mean durations of total and parenteral antibiotic therapy were 21.5 days and 10.2 days, respectively.
Conclusion:
Delay in detection and intervention in most cases of orbital cellulitis can lead to serious complications in this uncommon but not rare disease. |
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| ISSN: | 0972-0200 2454-2784 |