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ORIGINAL ARTICLE
Year : 2009  |  Volume : 11  |  Issue : 1  |  Page : 16-20

Intravenous corticosteroids in the management of orbital cellulitis


Consultant ORL Surgeon, Department of Ororhinolaryngology, Erfan-Bagedo General Hospital; Emeritus Professor of Otorhinolaryngology, King Abdulaziz University, Jeddah, Saudi Arabia

Correspondence Address:
Kamal J Daghistani
P.O. Box 11217, Jeddah 21453
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-8491.275320

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Objective: Orbital complications of acute sinusitis are common. If not treated promptly and properly, they lead to serious consequences. This study aimed at delineating the clinical , bacteriological and radiological findings and the outcome of management of orbital cellulitis. Materials and Methods: This was a review of 17 cases of orbital cellulitis seen over the period April 2000-November 2007. Al cases received full clinical examination, laboratory testing and CT scanning of the sinuses. All cases were treated conservatively and follow up period was up to 2 years. Results: Seventeen cases were reviewed. The age range was 7 months to 26 years and there were more males than females. The most common presenting feature was proptosis. Treatment consisted of I.V. antibiotics with I.V. Steroids. Local decongestant and steroid were also used. No cases needed surgical interventions except for the incision and drainage of a lid abscess. Conclusions: The addition of I.V. steroids to the management of orbital cellulitis is valuable and with no added morbidity.


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