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Orbital Infections in Children.

Journal of the Korean Pediatric Society 1990;33(7):932-939.
Published online July 31, 1990.
Orbital Infections in Children.
Hak Won Kim, Young Tae Kim, Sung Hee Oh, Ha Baik Lee
Department of Pediatrics, Hanyang University, College of Medicine, Seoul, Korea
소아 안와감염증에 관한 임상적 고찰
김학원, 김영태, 오성희, 이하백
한양대학교 의과대학 소아과학교실
Received: 3 February 1990   • Accepted: 10 March 1990
Abstract
Seven pediatric patients with orbital infections who were managed at the Hanyang University Hospital from April 1981 to June 1988 were reviewed. The summary of the study were as follows. 1) Seven patients were distributed between 3 months to 14 years of age and four were male. 2) Conditions associated with orbital infections were furuncles (eyelid, nasal cavity, finger), upper respiratory tract infections, and extraction of dental caries. 3) Clinical Symptoms and signs were edema and tenderness around the orbit, chemosis, proptosis, orbital pain, limitation of motion of eyeball, purulent discharges from eye and nose, and fever. 4) All of the five patients in whom the evaluation for sinusitis were attempted had sinusitis ipsilaterally. 5) According to the classification of orbital infection by Chandler et al, two patients were group I, two group II, two group III, and one group IV. Group III orbital infection in one patient was further progressed to group IV. 6) The results of the treatment with antibiotics alone were good in two group I, two group II and one group III orbital infections. In patient 6, group III orbital infection was progressed to group IV while on massive antibiotics. The patient was eventually recovered with no surgical intervention only after prolonged antibiotics administration and remained with decreased visual acuity. As contrasted, in patient 7, group IV orbital infection improved promptly with early surgical intervention and concomittent antibiotic administration with no evident complications.
Key Words: Periorbital cellulitis, Orbital cellulitis, Subperiosteal abscess, Orbital abscess


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