Pediatric preseptal and orbital cellulitis - a 6 year experience from a London tertiary centre.
Orbit
; 43(3): 301-306, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38165256
ABSTRACT
PURPOSE:
This study reports the experience of pediatric preseptal and orbital cellulitis at a London tertiary centre during a 6-year period and highlights the role of orbital surgeons in the management of subperiosteal abscess (SPA).METHODS:
A retrospective review was conducted of all pediatric patients hospitalised for preseptal and orbital cellulitis.RESULTS:
A total of 201 children including 152 cases of preseptal cellulitis and 49 cases of orbital cellulitis were admitted at a London tertiary centre over the study period. Patients with orbital cellulitis and especially those managed surgically had higher rates of fever, higher presenting white cell count and C-reactive protein level compared to cases of preseptal cellulitis. 77.6% of patients with orbital cellulitis had SPA. 81.6% of SPA had a medial component, while 28.9% had superior component. 61.2% of orbital cellulitis cases were managed surgically. Surgical intervention was carried out by otorhinolaryngologists (ENT) in 76.7% of cases, jointly between ENT and orbital surgeons in 16.7% of cases and by orbital surgeons alone in 6.7% of cases. Of the 11 SPA involving the orbital roof, all were surgically managed and orbital surgeons were involved in 54.5% of cases. When SPA involved the medial wall, orbital surgeons were only involved in 6.5% of cases.CONCLUSIONS:
We recommend all patients with superior SPA be treated at a centre with both ENT and orbital surgeons as these may not be amenable to drainage by ENT alone.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Celulite Orbitária
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Centros de Atenção Terciária
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Antibacterianos
Limite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Orbit
Ano de publicação:
2024
Tipo de documento:
Article