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Postseptal cellulitis: CT in diagnosis and management.
Radiology
|March 1, 1986
Summary
Computed tomography (CT) scans accurately show the extent of orbital cellulitis, aiding diagnosis and management. Sinus X-rays were unhelpful, suggesting CT is superior for this condition.
Area of Science:
- Ophthalmology
- Radiology
- Infectious Diseases
Background:
- Orbital cellulitis is a serious infection requiring prompt diagnosis.
- Traditional imaging methods like sinus radiographs have limitations in evaluating orbital involvement.
Purpose of the Study:
- To evaluate the utility of orbital computed tomographic (CT) scans in diagnosing and managing postseptal (orbital) cellulitis.
- To propose a management protocol based on CT findings.
Main Methods:
- Retrospective review of 13 orbital CT scans from 12 patients diagnosed with postseptal cellulitis.
- Comparison of CT findings with sinus radiographs.
Main Results:
- Axial CT scans accurately demonstrated the location and extent of inflammation in all cases.
- Sinus radiographs provided no significant diagnostic or management value.
Conclusions:
- Orbital CT is a highly effective imaging modality for postseptal cellulitis.
- A CT-based protocol can improve the management of orbital cellulitis.