Shifman Noa Tal, Krause Irit, Dotan Gad, Gilony Dror, Bilavsky Efraim
Department of Pediatrics C, Schneider Children's Medical Center of Israel, Petah Tikva, Israel and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Correspondence to: Dr Noa Tal Shifman, Department of Pediatrics C, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.
Department of Pediatrics C, Schneider Children's Medical Center of Israel, Petah Tikva, Israel and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Indian Pediatr. 2022 Jan 15;59(1):35-37. Epub 2021 Sep 4.
To describe our experience in treating children afflicted with orbital cellulitis.
A retrospective analysis of hospital records of children afflicted with orbital cellulitis was conducted between 2005-2018. Clinical, laboratory and radiology characteristics as well as management, microbiological data, and outcomes were collected.
Of the 94 patients, painful restriction of ocular motility was observed in 37.2% and proptosis in 34%, whereas, only 18% of the children presented with both classical signs. Children aged older than 9 years presented with markedly elevated inflammatory markers i.e., leukocytosis and C-reactive protein (CRP). Only a minority (12, 12.4%) required functional endoscopic sinus surgery.
Our data support the general approach that orbital cellulitis should be initially managed conservatively with close monitoring; since, only a minority of patients require surgical intervention.
