title: Sinonasal disease and orbital cellulitis in children.
abstract: Sinonasal disease is common in the pediatric population because of anatomic, environmental, and physiologic factors. Once paranasal sinusitis develops, orbital cellulitis is a concerning sequela that can result in loss of visual acuity and even intracranial disease. Thus, a clear history and physical examination in conjunction with radiographic studies are critical to a correct diagnosis and timely institution of treatment that may include hospitalization, serial ophthalmologic examinations, intravenous antibiotics, and surgery. The serious nature of orbital cellulitis in children cannot be overestimated; but, if prompt and appropriate treatment is initiated, the prognosis is excellent and long-term sequelae should be limited.
authors.affiliation: Oral and Maxillofacial Surgery Residency, Department of Oral and Maxillofacial Surgery, Christiana Care Health System, 501 West 14th Street, Suite 2W44, Wilmington, DE 19899, USA. dmeara@christianacare.org
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Meara
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D006801:Humans; D007223:Infant; D054517:Orbital Cellulitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010254:Paranasal Sinus Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D010808:Physical Examination; D011379:Prognosis
chemical_list: D000900:Anti-Bacterial Agents