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Radiographic Findings and Clinical Correlates in Pediatric Periorbital Infections.

Jonathan M Grischkan1, Charles A Elmaraghy2, Matthew R Garrett3

  • 1Department of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at Ohio State University, Columbus, Ohio, USA.

International Journal of Otorhinolaryngology
|September 15, 2015
PubMed
Summary

In pediatric periorbital infections, lamina papyracea dehiscence was common and linked to increased surgical intervention needs. Sinonasal abnormalities were frequent but not directly correlated with surgery, except for lamina papyracea dehiscence.

Keywords:
Endoscopic sinus surgeryLund-McKayPeriorbital cellulitisSinusitisSubperiosteal abscess

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Area of Science:

  • Otolaryngology
  • Pediatric Radiology
  • Pediatric Infectious Diseases

Background:

  • Periorbital infections in children can be serious, often linked to sinonasal issues.
  • Understanding anatomical factors is crucial for managing these infections.

Purpose of the Study:

  • To review radiographic findings in pediatric periorbital infections.
  • To evaluate sinonasal anatomical factors and their relation to clinical outcomes.

Main Methods:

  • Retrospective review of computed tomography (CT) scans in 100 pediatric patients with orbital infections.
  • Analysis of sinonasal anatomical variants and Lund-Mackay scores.
  • Chart review for treatment course and surgical intervention necessity.

Main Results:

  • Lamina papyracea dehiscence was found in 21% of non-surgically treated patients and 76% of surgically treated patients (P=0.0048).
  • Adenoid hypertrophy, inferior turbinate hypertrophy, and septal deviation were common but not statistically correlated with surgical need.
  • Average Lund-Mackay score (11.8) did not correlate with surgical intervention.

Conclusions:

  • This study highlights lamina papyracea dehiscence as a significant finding in pediatric periorbital infections.
  • Lamina papyracea dehiscence is associated with a higher likelihood of requiring surgical intervention.
  • Findings may influence the diagnosis, monitoring, and management of pediatric sinus disease.