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著者: A Robinson, T Beech, A L McDermott, A Sinha
雑誌名: J Laryngol Otol. 2007 Jun;121(6):545-7. doi: 10.1017/S0022215106003434. Epub 2006 Dec 13.
Abstract/Text
BACKGROUND: Orbital cellulitis has important complications. Despite this, there are few studies in the literature of large groups of cases of this condition.
METHODS: We performed a retrospective case analysis of all patients admitted with periorbital and orbital cellulitis between 2002 and 2004.
RESULTS: A total of 27 cases were included in the study. Of these, 25 had undergone a computed tomography scan, 19 of which had revealed significant sinus disease; 10 had had a microbiology result, with the most common organism being Streptococcus milleri; 20 had had a white cell count taken, with raised results in only 10; 12 had undergone surgery; and 25 had made a good recovery. One case had been found to be squamous cell carcinoma of the nasal cavity.
CONCLUSIONS: In this study, sinus disease was the commonest cause of orbital cellulitis, with the commonest organism being Streptococcus milleri. Only 50 per cent of cases with proven disease had had a raised white cell count; this is therefore not a very sensitive test.
PMID 17164026 J Laryngol Otol. 2007 Jun;121(6):545-7. doi: 10.1017/S0022215106003434. Epub 2006 Dec 13.
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