Jackson K, Baker S R
Department of Otolaryngology-Head and Neck Surgery, University of Michigan Hospitals, Ann Arbor 48109.
Head Neck Surg. 1987 Mar-Apr;9(4):227-34. doi: 10.1002/hed.2890090406.
Periorbital cellulitis is a commonly occurring infectious process limited to the eyelids in the preseptal region. It occurs with greater frequency in the pediatric age group. It is important to distinguish this disease from orbital cellulitis, a potentially lethal infectious process involving the contents of the orbit. A retrospective study of clinical and laboratory data from 137 cases with orbital and periorbital cellulitis was performed. Periorbital cellulitis was documented in 98 cases (71%) in contrast to orbital cellulitis, which was noted in 39 (28%) patients. Sinusitis was the most frequently encountered predisposing factor for the development of periorbital cellulitis occurring in 29 patients. All patients with a diagnosis of periorbital cellulitis were hospitalized and received antibiotics, the majority (95%) receiving intravenous therapy. Hemophilus influenzae was the most frequently isolated pathogenic organism. It was necessary to operate on eight patients. Six patients underwent incision and drainage of an eyelid or periorbital abscess. A distinction between periorbital and orbital cellulitis is clarified. The separation of these entities on the basis of physical examination and radiographic studies is stressed.
眶周蜂窝织炎是一种常见的感染性疾病，局限于眶隔前区域的眼睑。它在儿童年龄组中更常见。将这种疾病与眶蜂窝织炎区分开来很重要，眶蜂窝织炎是一种涉及眶内容物的潜在致命性感染性疾病。对137例眶蜂窝织炎和眶周蜂窝织炎患者的临床和实验室数据进行了回顾性研究。记录到眶周蜂窝织炎98例（71%），相比之下，眶蜂窝织炎39例（28%）。鼻窦炎是眶周蜂窝织炎发生最常见的诱发因素，有29例患者出现。所有诊断为眶周蜂窝织炎的患者均住院并接受抗生素治疗，大多数（95%）接受静脉治疗。流感嗜血杆菌是最常分离出的致病微生物。有8例患者需要手术。6例患者接受了眼睑或眶周脓肿的切开引流。明确了眶周蜂窝织炎和眶蜂窝织炎的区别。强调了根据体格检查和影像学研究对这些疾病进行区分。
