Orbital Cellulitis in a Pediatric Population - Experience From a Tertiary Center

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Noa Tal Shifman1, Irit Krause2, Gad Dotan3

  • 1Department of Pediatrics C, Schneider Children's Medical Center of Israel, Petah Tikva, Israel and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Correspondence to: Dr Noa Tal Shifman, Department of Pediatrics C, Schneider Children's Medical Center of Israel, Petah Tikva, Israel. noatal10@gmail.com.

Indian Pediatrics
|September 4, 2021
PubMed

Insights

Orbital cellulitis in children is often managed conservatively. Most cases of orbital cellulitis do not require surgical intervention, with conservative management showing positive outcomes.

Area of Science:

  • Ophthalmology
  • Pediatric Infectious Diseases

Background:

  • Orbital cellulitis is a serious infection requiring prompt diagnosis and management in children.
  • Understanding clinical presentations and outcomes is crucial for effective treatment strategies.

Purpose of the Study:

  • To review the clinical experience with pediatric orbital cellulitis.
  • To analyze patient characteristics, management, and outcomes.

Main Methods:

  • Retrospective analysis of hospital records from 2005-2018.
  • Collected data on clinical, laboratory, radiological, microbiological, and management details.

Main Results:

  • 94 children with orbital cellulitis were analyzed.
  • Painful ocular motility restriction (37.2%) and proptosis (34%) were common; only 18% had both.
  • Elevated inflammatory markers (leukocytosis, CRP) were noted in children over 9 years.
  • Functional endoscopic sinus surgery was required in only 12.4% of cases.

Conclusions:

  • Conservative management with close monitoring is recommended for orbital cellulitis in children.
  • Surgical intervention is necessary for only a small subset of patients.
Abstract

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