Age As a Factor in the Bacteriology and Response to Treatment of Subperiosteal Abscess of the Orbit

Overview

Journal Trans Am Ophthalmol Soc

Specialty Ophthalmology

Date 1993 Jan 1

PMID 8140703

Citations 7

Authors

G J Harris

Affiliations

Soon will be listed here.

Abstract

The clinical course of SPA of the orbit is associated with the age of the patient. That association might be explained through a series of intermediate relationships: the clinical course correlates with the bacterial constituency, the bacterial constituency is related to physiologic derangement within the sinuses, the physiologic derangement may vary with the degree of obstruction of the sinus ostia, and the ostial caliber relative to the volume of the cavity that must be drained decreases with patient age into late adolescence. The controversy between pediatricians and surgeons over the appropriate indications for drainage might be resolved with the acknowledgement that each side is correct on the basis of the patient populations treated. It is hoped that recognition of the age-related variations in SPA will permit a more systematic approach to the management of this complex infectious disease.

Citing Articles

Odontogenic Orbital Cellulitis at the Crossroads of Surgeries: Multidisciplinary Management and Review.

Pirvulescu R, Vasile V, Romanitan M, Zemba M, Ciulei O, Geamanu A Diagnostics (Basel). 2024; 14(13).

PMID: 39001281 PMC: 11241383. DOI: 10.3390/diagnostics14131391.

Orbital Cellulitis with Subperiosteal Abscess (with Video).

Lessing J, Manesh R J Gen Intern Med. 2019; 34(11):2684-2686.

PMID: 31485972 PMC: 6848356. DOI: 10.1007/s11606-019-05292-0.

Trend of surgery for orbital cellulitis: An analysis of state inpatient databases.

Jiramongkolchai P, Lander D, Kallogjeri D, Olsen M, Keller M, Schneider J Laryngoscope. 2019; 130(3):567-574.

PMID: 31050824 PMC: 6825874. DOI: 10.1002/lary.28050.

Neurological Complications of Acute and Chronic Sinusitis.

Ziegler A, Patadia M, Stankiewicz J Curr Neurol Neurosci Rep. 2018; 18(2):5.

PMID: 29404826 DOI: 10.1007/s11910-018-0816-8.

Orbital complications of paranasal sinusitis in Taiwan, 1988 through 2015: Acute ophthalmological manifestations, diagnosis, and management.

Chang Y, Chen P, Hung J, Chen H, Lai C, Ou C PLoS One. 2017; 12(10):e0184477.

PMID: 28972988 PMC: 5626037. DOI: 10.1371/journal.pone.0184477.

References

Lundberg C, ENGQUIST S . Pathogenesis of maxillary sinusitis. Scand J Infect Dis Suppl. 1983; 39:53-5. View

Harris G . Subperiosteal inflammation of the orbit. A bacteriological analysis of 17 cases. Arch Ophthalmol. 1988; 106(7):947-52. DOI: 10.1001/archopht.1988.01060140093032. View

Goodwin Jr W, Weinshall M, Chandler J . The role of high resolution computerized tomography and standardized ultrasound in the evaluation of orbital cellulitis. Laryngoscope. 1982; 92(7 Pt 1):729-31. View

Dolman P, Glazer L, Harris G, BEATTY R, Massaro B . Mechanisms of visual loss in severe proptosis. Ophthalmic Plast Reconstr Surg. 1991; 7(4):256-60. DOI: 10.1097/00002341-199112000-00004. View

Chandler J, Langenbrunner D, Stevens E . The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 1970; 80(9):1414-28. DOI: 10.1288/00005537-197009000-00007. View

Sty J, BABBITT D, Aronow C . Diagnosis of an orbital abscess with ultrasonography. Wis Med J. 1980; 79(3):33-4. View

Gwaltney J . Acute sinusitis in adults. Am J Otolaryngol. 1983; 4(6):422-3. DOI: 10.1016/s0196-0709(83)80053-2. View

Berg O, Carenfelt C, Kronvall G . Bacteriology of maxillary sinusitis in relation to character of inflammation and prior treatment. Scand J Infect Dis. 1988; 20(5):511-6. DOI: 10.3109/00365548809032499. View

Gwaltney Jr J, Sydnor Jr A, Sande M . Etiology and antimicrobial treatment of acute sinusitis. Ann Otol Rhinol Laryngol Suppl. 1981; 90(3 Pt 3):68-71. DOI: 10.1177/00034894810903s216. View

10.

. Acute infarction of the choroid and retina. A complication of orbital cellulitis. Br J Ophthalmol. 1973; 57(3):204-5. PMC: 1215417. DOI: 10.1136/bjo.57.3.204. View

11.

Maniglia A, Goodwin W, Arnold J, Ganz E . Intracranial abscesses secondary to nasal, sinus, and orbital infections in adults and children. Arch Otolaryngol Head Neck Surg. 1989; 115(12):1424-9. DOI: 10.1001/archotol.1989.01860360026011. View

12.

Blayney A, Frootko N, MITCHELL R . Complications of sinusitis caused by Streptococcus milleri. J Laryngol Otol. 1984; 98(9):895-9. DOI: 10.1017/s0022215100147668. View

13.

Gutowski W, Mulbury P, Hengerer A, Kido D . The role of C.T. scans in managing the orbital complications of ethmoiditis. Int J Pediatr Otorhinolaryngol. 1988; 15(2):117-28. DOI: 10.1016/0165-5876(88)90062-6. View

14.

Berg B, Franklin G, Cuneo R, BOLDREY E, Strimling B . Nonsurigcal cure of brain abscess: early diagnosis and follow-up with computerized tomography. Ann Neurol. 1978; 3(6):474-8. DOI: 10.1002/ana.410030603. View

15.

Gold S, Arrigg P, Hedges 3rd T . Computerized tomography in the management of acute orbital cellulitis. Ophthalmic Surg. 1987; 18(10):753-6. View

16.

Haynes R, Cramblett H . Acute ethmoiditis. Its relationship to orbital cellulitis. Am J Dis Child. 1967; 114(3):261-7. DOI: 10.1001/archpedi.1967.02090240075004. View

17.

Hawkins D, Clark R . Orbital involvement in acute sinusitis. Lessons from 24 childhood patients. Clin Pediatr (Phila). 1977; 16(5):464-71. DOI: 10.1177/000992287701600510. View

18.

Jarrett 2nd W, GUTMAN F . Ocular complications of infection in the paranasal sinuses. Arch Ophthalmol. 1969; 81(5):683-8. DOI: 10.1001/archopht.1969.00990010685013. View

19.

Catalano R, Smoot C . Subperiosteal orbital masses in children with orbital cellulitis: time for a reevaluation?. J Pediatr Ophthalmol Strabismus. 1990; 27(3):141-2. DOI: 10.3928/0191-3913-19900501-09. View

20.

Weiss W, FLIPPIN H . Treatment of acute nonspecific primary lung abscess. Use of orally administered penicillin G. Arch Intern Med. 1967; 120(1):8-11. View