Hostname: page-component-6766d58669-7fx5l Total loading time: 0 Render date: 2026-05-14T21:03:03.457Z Has data issue: false hasContentIssue false
  • English
  • Français

Orbital infections: five-year case series, literature review and guideline development

Published online by Cambridge University Press:  10 June 2015

M S Atfeh  and
H S Khalil
M S Atfeh*
Affiliation:
ENT Department, Plymouth Hospitals NHS Trust, and Peninsula Schools of Medicine and Dentistry, Plymouth University, UK
H S Khalil
Affiliation:
ENT Department, Plymouth Hospitals NHS Trust, and Peninsula Schools of Medicine and Dentistry, Plymouth University, UK
*
Address for correspondence: Mr M Atfeh, ENT Department, Level 7, Derriford Hospital, Plymouth PL6 8DH, UK Fax: E-mail: mihiaratfeh@nhs.net
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Periorbital infections represent a spectrum of sepsis that carries potentially significant morbidity and mortality. Early recognition, systematic assessment and aggressive treatment of the condition are essential.

Methods:

A retrospective five-year case note review on the management of periorbital infections was performed at a tertiary centre. A literature review on the management of periorbital infections was also undertaken. A multidisciplinary guideline on the management of periorbital infections was developed based on the findings of the case and literature reviews.

Results:

The results of the retrospective case series correlate well with those of recent reports.

Conclusion:

The new multidisciplinary guideline has been finalised and approved for practice and future auditing.

Keywords

Orbital CellulitisParanasal Sinus DiseasesSinusitisPractice Guideline

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 7 , July 2015 , pp. 670 - 676
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

Presented as oral and poster presentations at the 25th Congress of the European Rhinologic Society in conjunction with the 32nd International Symposium of Infection & Allergy of the Nose, 22–26 June 2014, Amsterdam, the Netherlands.

References

1Upile, NS, Munir, N, Leong, SC, Swift, AC. Who should manage acute periorbital cellulitis in children? Int J Pediatr Otorhinolaryngol 2012;76:1073–7CrossRefGoogle ScholarPubMed
2Clarke, W. Periorbital and orbital cellulitis in children. Paediatr Child Health 2004;9:471–2CrossRefGoogle ScholarPubMed
3Baring, DE, Hilmi, OJ. An evidence based review of periorbital cellulitis. Clin Otolaryngol 2011;36:57–64CrossRefGoogle ScholarPubMed
4Beech, T, Robinson, A, McDermott, AL, Sinha, A. Paediatric periorbital cellulitis and its management. Rhinology 2007;45:47–9Google ScholarPubMed
5Goldman, RD, Dolansky, G, Rogovik, AL. Predictors for admission of children with periorbital cellulitis presenting to the pediatric emergency department. Pediatr Emerg Care 2008;24:279–83CrossRefGoogle Scholar
6Lalwani, AK. Current Diagnosis & Treatment, Otolaryngology Head and Neck Surgery, 2nd edn.New York: McGraw-Hill, 2008Google Scholar
7Lee, K. J. Essential Otolaryngology Head & Neck Surgery, 8th edn.New York: McGraw-Hill, 2003Google Scholar
8Fincham, G, Bhutta, MF. Orbital cellulitis: assessment and management. Br J Hosp Med 2009;70:M108–10CrossRefGoogle ScholarPubMed
9Nageswaran, S, Woods, CR, Benjamin, DK Jr, Givner, LB, Shetty, AK. Orbital cellulitis in children. Pediatr Infect Dis J 2006;25:695–9CrossRefGoogle ScholarPubMed
10Bedwell, J, Bauman, NM. Management of pediatric orbital cellulitis and abscess. Curr Opin Otolaryngol Head Neck Surg 2011;19:467–73CrossRefGoogle ScholarPubMed
11Ryan, JT, Preciado, DA, Bauman, N, Pena, M, Bose, S, Zalzal, GH et al. Management of pediatric orbital cellulitis in patients with radiographic findings of subperiosteal abscess. Otolaryngol Head Neck Surg 2009;140:907–11CrossRefGoogle ScholarPubMed
12Chandler, JR, Langenbrunner, DJ, Stevens, ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope 1970;80:1414–28CrossRefGoogle ScholarPubMed
13Robinson, A, Beech, T, McDermott, AL, Sinha, A. Investigation and management of adult periorbital and orbital cellulitis. J Laryngol Otol 2007;121:545–54CrossRefGoogle ScholarPubMed
14Seltz, LB, Smith, J, Durairaj, VD, Enzenauer, R, Todd, J. Microbiology and antibiotic management of orbital cellulitis. Pediatrics 2011;127:e566–72CrossRefGoogle ScholarPubMed
15Dhillon, N, Jones, N, Fergie, N. Audit of management of periorbital cellulitis and abscess in a district general hospital and a tertiary referral centre, in line with published guidelines. J Laryngol Otol 2010;124:636–40CrossRefGoogle Scholar
16Huang, SF, Lee, TJ, Lee, YS, Chen, CC, Chin, SC, Wang, NC. Acute rhinosinusitis–related orbital infection in pediatric patients: a retrospective analysis. Ann Otol Rhinol Laryngol 2011;120:185–90CrossRefGoogle ScholarPubMed
17McKinley, SH, Yen, MT, Miller, AM, Yen, KG. Microbiology of Pediatric Orbital Cellulitis. Am J Ophthalmol 2007;144:497–501CrossRefGoogle ScholarPubMed
18Cummings, CW, Harker, LA, Krause, CJ, Richardson, MA, Schuller, DE, Krause, CJ et al. Cummings Otolaryngology: Head and Neck Surgery, 3rd edn.St. Louis: Mosby, 1998Google Scholar
19Rudloe, TF, Harper, MB, Prabhu, SP, Rahbar, R, Vanderveen, D, Kimia, AA. Acute periorbital infections: who needs emergent imaging? Pediatrics 2010;125:e719–26CrossRefGoogle ScholarPubMed
20Gavriel, H, Yeheskeli, E, Aviram, E, Yehoshua, L, Eviatar, E. Dimension of subperiosteal orbital abscess as an indication for surgical management in children. Otolaryngol Head Neck Surg 2011;145:823–7CrossRefGoogle ScholarPubMed
21Mahalingam-Dhingra, A, Lander, L, Preciado, DA, Taylormoore, J, Shah, RK. Orbital and periorbital infections: a national perspective. Arch Otolaryngol Head Neck Surg 2011;137:769–73CrossRefGoogle ScholarPubMed
22Dewan, MA, Meyer, DR, Wladis, EJ. Orbital cellulitis with subperiosteal abscess: demographics and management outcomes. Ophthal Plast Reconstr Surg 2011;27:30–2CrossRefGoogle ScholarPubMed
23Howe, L, Jones, NS. Guidelines for the management of periorbital cellulitis⁄abscess. Clin Otolaryngol Allied Sci 2004;29:725–8CrossRefGoogle ScholarPubMed
24Fokkens, W, Lund, V, Mullol, J et al. EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology 2012;50:1–12CrossRefGoogle ScholarPubMed