Abstract:
PURPOSE:To determine the effect of intravenous corticosteroids in the acute management of pediatric orbital cellulitis with subperiosteal abscess. METHODS:The inpatient records of all patients treated for orbital cellulitis with subperiosteal orbital abscess between January 2001 and August 2003 were reviewed. The use of corticosteroids, length of hospital stay, need for surgical drainage, treatment course, and clinical outcomes were reviewed. A t test and Fisher exact test analysis were calculated to evaluate statistical significance. RESULTS:Twelve patients received intravenous corticosteroids and 11 patients did not receive corticosteroids. All patients had complete resolution of their abscess without complications. Length of hospitalization between the patients treated with and without intravenous corticosteroids was not significantly different (p = 0.26). Four of 12 patients treated with intravenous corticosteroids underwent orbitotomy for drainage of the abscess, and 6 of 11 patients treated without intravenous corticosteroids underwent surgical drainage (p = 0.20). Two of 12 patients treated with corticosteroids received intravenous antibiotics after discharge, whereas 7 of 11 in the group not treated with corticosteroids received intravenous antibiotics after discharge (p = 0.03). CONCLUSIONS:The use of intravenous corticosteroids does not appear to adversely affect clinical outcomes and may be beneficial in the treatment of pediatric orbital cellulitis with subperiosteal abscess. Review of our data suggests that a prospective, randomized trial is warranted to further clarify the role of corticosteroids in the acute management of pediatric orbital cellulitis with subperiosteal abscess.
journal_name
Ophthalmic Plast Reconstr Surgjournal_title
Ophthalmic plastic and reconstructive surgeryauthors
Yen MT,Yen KGdoi
10.1097/01.iop.0000179973.44003.f7subject
Has Abstractpub_date
2005-09-01 00:00:00pages
363-6; discussion 366-7issue
5eissn
0740-9303issn
1537-2677pii
00002341-200509000-00009journal_volume
21pub_type
杂志文章abstract::An 88-year-old woman presented with a longstanding superomedial cyst of the orbit complicated by recurrent acute infection. Despite a clinical picture typical for a sino-orbital mucocele, no sinus abnormality was demonstrated. Histopathologic examination revealed a respiratory epithelial lining similar to that of the ...
journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00002341-198804020-00008
更新日期:1988-01-01 00:00:00
abstract::A 14-year-old girl presented with a 3-month history of proptosis of the left eye. Orbital MRI revealed a superiorly located, well-defined, large mass that was hyperintense on T1-weighted and T2-weighted images with heterogenous internal structure and contrast enhancement. The patient underwent superolateral orbitotomy...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0b013e3181ac77af
更新日期:2009-07-01 00:00:00
abstract:PURPOSE:The programmed death-1 pathway negatively regulates the immune system. Previous reports have indicated worse tumor-related outcomes with increased expression of the ligand for this pathway. This study was undertaken to assess the role of the PD pathway in cutaneous malignancies that invade the orbit. METHODS:I...
journal_title:Ophthalmic plastic and reconstructive surgery
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abstract:PURPOSE:To describe a role for optic nerve decompression as adjuvant surgical therapy in the management of optic nerve sheath meningioma in patients with severe, progressive visual loss and optic disc edema before or after radiation therapy. METHODS:Interventional case report. RESULTS:Two patients with unilateral opt...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/01.iop.0000225420.06323.76
更新日期:2006-07-01 00:00:00
abstract::Medical photographic documentation is important for professional, research, and ethical concerns. This study analyzed the possible interference that the flash could cause on evaluation of lower eyelid cosmetic results. Standardized photographs with and without flash were taken of 10 patients with dermatochalasis. The ...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0b013e31821b6daf
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abstract::Sebaceous carcinoma of the eyelid is frequently misdiagnosed clinically and histopathologically. The tumor may present as a lid mass, recurrent chalazion, or diffuse unilateral blepharoconjunctivitis. Fifty percent of cases are misdiagnosed, often by an inexperienced general pathologist interpreting the initial biopsy...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/00002341-199103000-00008
更新日期:1991-01-01 00:00:00
abstract::The authors describe a spindle cell lipoma that occurred in the anterior lamellae of the eyelid in a 47-year-old man. This benign tumor was reported previously only once within that location and poses histologic challenges when a "low fat" or "fat free" variant is present. ...
journal_title:Ophthalmic plastic and reconstructive surgery
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abstract:PURPOSE:To describe an innovative technique of lateral canthal tendon (LCT) anchoring to the lateral orbital rim on its inner aspect using a "lasso" technique, in order to provide the ideal vector. METHODS:A retrospective case review of seven patients (n = 7), performed from 2009 to 2013 at our institution by the seni...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0b013e3182a22ab8
更新日期:2014-03-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0b013e3181b2f796
更新日期:2009-09-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0000000000000584
更新日期:2017-05-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0000000000001880
更新日期:2020-11-19 00:00:00
abstract::The implantation of an orbital hydroxyapatite implant was complicated by conjunctival dehiscence, cutaneous fistula formation, and infection with Staphylococcus aureus. Pathologic examination of the sphere 2 years after its implantation revealed reduction in the size of the implant, peripheral lamellar bone formation ...
journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/00002341-199606000-00008
更新日期:1996-06-01 00:00:00
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更新日期:2012-01-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/00002341-199409000-00012
更新日期:1994-09-01 00:00:00
abstract::Ocular tick infestation is a rare occurrence. The authors report a case that is unique for being the first published example from New England, for its chronic presentation, and for the inclusion of histopathologic analysis in its diagnostic workup. A 75-year-old man was evaluated for a persistent eyelid growth seconda...
journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
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更新日期:2016-05-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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abstract::The Mustarde cheek rotation flap has proved to be an extremely successful and reliable technique for repairing large defects of the lower lid. However, when a stump of normal, lash-bearing lid margin remains on the advancing edge of the flap, it does not seem appropriate to insert it into a defect that extends more me...
journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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更新日期:2007-09-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00002341-200203000-00014
更新日期:2002-03-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
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更新日期:2003-05-01 00:00:00
abstract::Endocrine mucin-producing sweat gland carcinoma, a rare, low-grade neoplasm with predilection for the eyelids, has been posited as a precursor to invasive mucinous adenocarcinoma. Endocrine mucin-producing sweat gland carcinoma and its concurrence with mucinous adenocarcinoma have received little attention in the opht...
journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/IOP.0000000000001002
更新日期:2018-03-01 00:00:00
abstract::Seven patients with significant frontal trauma involving the supraorbital region associated with orbital roof "blow-in" fractures were admitted to the Maryland Institute for Emergency Medical Services Systems (MIEMSS) at the University of Maryland Medical System over a 16-month period. High-resolution computed tomogra...
journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00002341-199106000-00001
更新日期:1991-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2010-09-01 00:00:00
abstract::An unusual case of purely cystic bilateral ancient schwannomas of the orbit is reported. Complete ophthalmologic examination and CT was performed. Diagnosis was established by excisional biopsy of both tumors, including clinicopathologic study. Histologic examination showed a bilateral purely cystic ancient schwannoma...
journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
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更新日期:2007-01-01 00:00:00
abstract::Canalicular lacerations are frequently found in conjunction with other facial lacerations occurring in dog bite injuries. A review of the treatment of 17 dog bite-induced canalicular lacerations is presented. Certain pathogens commonly found in the canine oral flora may cause severe secondary infections, which may res...
journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章,评审
doi:10.1097/00002341-199609000-00012
更新日期:1996-09-01 00:00:00
abstract:PURPOSE:To present a structured tool to assess ophthalmic plastic surgical skill and to determine its face and content validity. METHODS:A 1-page structured subjective evaluation form was developed to evaluate a resident's oculoplastic surgical skill while performing lateral tarsal strip surgery. The tool consisted of...
journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/IOP.0b013e31815ebb14
更新日期:2008-01-01 00:00:00