Vittorio Sciarretta1, Marco Demattè2, Paolo Farneti3, Martina Fornaciari4, Ilaria Corsini5, Ottavio Piccin6, Domenico Saggese7, Ignacio Javier Fernandez8. 1. Department of Otolaryngology, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy. Electronic address: sciarrettavittorio@hotmail.com. 2. Department of Otolaryngology, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy. Electronic address: mrc.dematte@gmail.com. 3. Department of Otolaryngology, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy. Electronic address: paolo.farneti5@unibo.it. 4. Department of Otolaryngology, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy. Electronic address: mrt.fornaciari@gmail.com. 5. Department of Pediatrics, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy. Electronic address: ilaria.corsini@aosp.bo.it. 6. Department of Otolaryngology, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy. Electronic address: o1piccin@yahoo.it. 7. Department of Otolaryngology, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy. Electronic address: domsaggese@yahoo.it. 8. Department of Otolaryngology, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy. Electronic address: ignafernandez@yahoo.it.
Abstract
OBJECTIVE: Pediatric periorbital cellulitis represents a common disease complicating a nasal infection. METHODS: A ten-year retrospective review of fifty-seven children admitted to our institution with the diagnosis of periorbital cellulitis as a complication of sinus infections was carried out. RESULTS: The age varied from one month to eleven years (mean 3.9 years). Thirty-five were males (62%), while twenty-two were females (38%). Nine out of fifty-seven (15.8%) presented exophthalmos associated with eyelid erythema and edema, while the rest suffered mainly from eyelid erythema and edema. Twenty-two patients complaining of exophthalmos or not responding to medical therapy within 48 h were assessed with a computed tomography scan (38.6%). A subperiosteal orbital abscess was detected in nine cases and these patients underwent surgical drainage (15,8%). Recurrence of orbital infection occurred in three cases (5.3%). CONCLUSIONS: Medical management is the main treatment for both preseptal and postseptal orbital cellulitis. Nevertheless, there is no universally accepted guideline for the treatment of subperiosteal abscesses and each case should be treated accordingly. Urgent surgical drainage should be considered in cases not responding to adequate medical management, or those cases presenting visual deterioration.
OBJECTIVE: Pediatric periorbital cellulitis represents a common disease complicating a nasal infection. METHODS: A ten-year retrospective review of fifty-seven children admitted to our institution with the diagnosis of periorbital cellulitis as a complication of sinus infections was carried out. RESULTS: The age varied from one month to eleven years (mean 3.9 years). Thirty-five were males (62%), while twenty-two were females (38%). Nine out of fifty-seven (15.8%) presented exophthalmos associated with eyelid erythema and edema, while the rest suffered mainly from eyelid erythema and edema. Twenty-two patients complaining of exophthalmos or not responding to medical therapy within 48 h were assessed with a computed tomography scan (38.6%). A subperiosteal orbital abscess was detected in nine cases and these patients underwent surgical drainage (15,8%). Recurrence of orbital infection occurred in three cases (5.3%). CONCLUSIONS: Medical management is the main treatment for both preseptal and postseptal orbital cellulitis. Nevertheless, there is no universally accepted guideline for the treatment of subperiosteal abscesses and each case should be treated accordingly. Urgent surgical drainage should be considered in cases not responding to adequate medical management, or those cases presenting visual deterioration.
Authors: Hans J Welkoborsky; Susanne Pitz; Sylvia Grass; Boris Breuer; Anja Pähler Vor der Holte; Oliver Bertram; Burkhard Wiechens Journal: Dtsch Arztebl Int Date: 2022-01-21 Impact factor: 8.251
Authors: Mohamad Z Saltagi; Cyrus C Rabbani; Kunal S Patel; Todd J Wannemuehler; Rao V Chundury; Elisa A Illing; Jonathan Y Ting Journal: Allergy Rhinol (Providence) Date: 2022-04-27