| Autor: |
van der Poel, N. A., Van der Veer, E. G., Ebbens, F. A., de Win, M. M., Kloos, R. J., Mourits, M. P. |
| Přispěvatelé: |
Ear, Nose and Throat, AII - Infectious diseases, Ophthalmology, APH - Aging & Later Life, APH - Health Behaviors & Chronic Diseases, Amsterdam institute for Infection and Immunity, Radiology and Nuclear Medicine |
| Jazyk: |
Dutch; Flemish |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Nederlands tijdschrift voor geneeskunde, 161. Bohn Stafleu van Loghum |
| ISSN: |
0028-2162 |
| Popis: |
Orbital cellulitis is a rare disease usually caused by sinusitis. Generally, the prognosis of both preseptal cellulitis and orbital cellulitis is favourable. Radiological distinction should be made between an orbital abscess and subperiosteal empyema. Theoretically, empyema is more accessible to antibiotics and, as it arises in a pre-existing anatomical space, it needs less aggressive treatment than an abscess. In contrast, the wall of an abscess created by the bacteria is scarcely permeable to antibiotics. Indications for surgical drainage should be based on clinical findings and not on Chandler's classification. Loss of vision, an unresponsive pupil or a densely packed orbit are indications for immediate surgical drainage. Drainage of an orbital abscess may speed up recovery |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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