Paediatric pre- and post-septal peri-orbital infections are different diseases

Botting, A.M.; McIntosh, David; Mahadevan, Murali

doi:10.1016/j.ijporl.2007.11.013

Cited by 147 publications

(132 citation statements)

References 12 publications

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“…There are many small bone dehiscences on it. The lamina papyracea are rich in a venous system which lacks valves and constitutes a vascular network, so that the blood can move freely between ethmoid sinuses and orbit content (4,6). The nasal cavity of children is narrower and the nasal mucosa is tenderer than that of adults; thus, the sinuses are easily blocked by edematous mucosa during an acute infection, and the infection can spread from sinuses to the orbit (7).…”

Section: Discussionmentioning

confidence: 99%

Treatment of Orbital Complications Following Acute Rhinosinusitis in Children

Wan¹,

Shi²,

Wang³

2016

Balkan Med J

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Background:The orbital complications account for about 80% of all complications secondary to acute rhinosinusitis. If the treatment is not correct and in time, orbital complications could progress rapidly, leading to optic neuritis, cavernous sinus thrombophlebitis or life-threatening intracranial complications. Aims: To evaluate the therapeutic efficacy of conservative therapy for the patients with orbital cellulitis and endoscopic sinus surgery (ESS) performed on patients with subperiosteal abscess (SPA) secondary to acute rhinosinusitis in children. Study Design: Retrospective cross-sectional study. Methods: The retrospective study included 31 pediatric patients with orbital complications secondary to acute rhinosinusitis. In all cases, intensive treatment was initiated with a combination of oral or intravenous antibiotics, glucocorticoid and gelomyrtol forte after admission. ESS was performed if an improvement in the condition of patients did not occur after 48 hours. However, the patients with orbital SPA, motility disorders of eyeball or decreased vision received ESS immediately within 24 hours. Results: Sixteen patients were cured by conservative therapy and 15 patients by ESS. All of the signs and symptoms disappeared after conservative therapy or ESS. There were no recurrences within the follow-up period of 1 to 8 years. Conclusion: Conservative therapy is an effective method for patients with inflammatory edema and most cases of orbital cellulitis in children. SPA can be cured by ESS.

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Section: Discussionmentioning

confidence: 99%

Treatment of Orbital Complications Following Acute Rhinosinusitis in Children

Wan¹,

Shi²,

Wang³

2016

Balkan Med J

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“…[217][218][219][220][221] Sinus disease is the underlying cause of about 10% of intracranial suppuration, 222,223 and is associated with 10% to 90% of periorbital infections. 224 In large epidemiological studies, the overall incidence of complications ranged from 3 per million individuals per year in the Netherlands, 225 to 2.7 to 4.3 per million children per year in the United States (intracranial), 226 to 2.5 per million of population per year in France. 227 In almost all studies males are significantly more frequently affected than females [225][226][227] and ARS was more often the precipitating factor in children, whereas CRS with or without nasal polyposis was more important in adults.…”

Section: Ve Ars: Complicationsmentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

557

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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“…These organisms are components of the normal bacterial flora of the conjunctiva and upper respiratory tract (8) . Orbital cellulitis in children is typically secondary to sinusitis, with Staphylococcus aureus and Streptococcus pyogenes isolated in 75% of cases (9) . S. epidermidis is capable of forming biofilms, a characteristic of bacteria highly resistant to antibiotic treatment and found on the surface of prosthetic medical devices.…”

Section: Discussionmentioning

confidence: 99%