Rubinstein J B, Handler S D
Head Neck Surg. 1982 Sep-Oct;5(1):15-21. doi: 10.1002/hed.2890050105.
The proper management of patients with orbital and periorbital cellulitis represents a distinct challenge to the clinician. A retrospective study is presented of 165 patients with the diagnosis of orbital or periorbital cellulitis admitted to the Children's Hospital of Philadelphia (CHOP) from January 1975 through December 1980. Sinusitis, trauma, local skin inflammations, and otitis were the most common etiologies. Twenty-three of the patients had orbital cellulitis, all of which were secondary to sinusitis. There was one death in this series. No patients had permanent ocular sequelae related to orbital or periorbital cellulitis. A discussion of etiology and management is presented, with emphasis on the usefulness of computerized tomography (CT).
对眼眶及眶周蜂窝织炎患者进行恰当管理，对临床医生而言是一项独特的挑战。本文呈现了一项回顾性研究，研究对象为1975年1月至1980年12月期间收治于费城儿童医院（CHOP）的165例诊断为眼眶或眶周蜂窝织炎的患者。鼻窦炎、外伤、局部皮肤炎症及中耳炎是最常见的病因。其中23例患者患有眼眶蜂窝织炎，均继发于鼻窦炎。该系列病例中有1例死亡。无一例患者出现与眼眶或眶周蜂窝织炎相关的永久性眼部后遗症。本文对病因及管理进行了讨论，重点强调了计算机断层扫描（CT）的作用。
