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Updated: Jun 17, 2026

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Gender differences in the management of pediatric orbital cellulitis
Tyler Wanstreet1, Amani Kais1, Chadi A Makary1
1Department of Otolaryngology-Head and Neck surgery, West Virginia University, 4th floor HSC, One Medical Center Dr, Morgantown, WV, USA.
Objective:
The aim of this study is to investigate gender differences in the disease severity and management of orbital infections in children hospitalized for treatment.
Methods:
Retrospective cohort study of all children aged 0 to 18 years who had a confirmed diagnosis of preseptal or postseptal cellulitis and were hospitalized over a 15-year period.
Results:
The sample consisted of 124 children, 52.4 % male, with mean age of 7.1 years (SD = 4.88, range = 4.9-18) and a relatively equal distribution between preseptal (52.4 %) and postseptal (47.6 %) cellulitis. Although males and females did not differ in rates of preseptal and postseptal cellulitis and Lund-Mackay scores (p > 0.05 for all), males were more likely to undergo surgical management (21.5 % vs 8.5 %; p = 0.049).
Conclusion:
Additional research is needed to understand why the management of cellulitis differs between male and female pediatric patients and how it may affect treatment outcomes.
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