[Postseptal orbital cellulitis and sinusitis. Descriptive study of 8 cases and literature review].
This is a retrospective study of 8 patients with postseptal orbital cellulitis (stages II-V of Chandler) caused by sinusitis during 1999-2003. The variables analyzed in this study included age, sex, delay in diagnosis, aetiology, imaging studies, microbiology specimens collected and treatment. Delays in diagnosis were frecuent. CT was the best radiologic study. Polymicrobial infections were the rule, including anaerobes. 4 patients of 8 needed surgical drainage. A general guideline for the management of periorbital and orbital cellulitis according to the clinical staging of the process is presented.
Servicio ORL, Hospital Del Bierzo, Ponferrada, Leon. pilipomar@hotmail.com
P
P
Pomar Blanco
J
J
San Román Carbajo
C
C
Martín Villares
M
M
Tapia Risueño
M
M
Fernández Pello
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D015521:Ethmoid Sinusitis / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000473:pathology*; D009916:Orbital Diseases / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D012189:Retrospective Studies; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D014662:Vasoconstrictor Agents