Abstract
Objective
To describe our experience in treating children afflicted with orbital cellulitis.
Methods
A retrospective analysis of hospital records of children afflicted with orbital cellulitis was conducted between 2005–2018. Clinical, laboratory and radiology characteristics as well as management, microbiological data, and outcomes were collected.
Results
Of the 94 patients, painful restriction of ocular motility was observed in 37.2% and proptosis in 34%, whereas, only 18% of the children presented with both classical signs. Children aged older than 9 years presented with markedly elevated inflammatory markers i.e., leukocytosis and C-reactive protein (CRP). Only a minority (12, 12.4%) required functional endoscopic sinus surgery.
Conclusion
Our data support the general approach that orbital cellulitis should be initially managed conservatively with close monitoring; since, only a minority of patients require surgical intervention.
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Acknowledgement
Mrs. Phyllis Curchack Kornspan for her editorial services.
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Contributors: NTS, EB: participated in the conception and design of study and the drafting of manuscript; NTS: participated in the acquisition, analysis and interpretation of the data; IK, GD, DG: participated in the critical revision of manuscript. All authors approved its final version.
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Ethics clearance: Institutional Helsinki committee and institutional review board; No. RMC 0578-18m dated Aug 5, 2021.
Competing interest: None stated.
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Shifman, N.T., Krause, I., Dotan, G. et al. Orbital Cellulitis in a Pediatric Population - Experience From a Tertiary Center. Indian Pediatr 59, 35–37 (2022). https://doi.org/10.1007/s13312-022-2417-5
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DOI: https://doi.org/10.1007/s13312-022-2417-5