Age as a factor in the bacteriology and response to treatment of subperiosteal abscess of the orbit. Trans Am Ophthalmol Soc 1993;91:441-516
Date
01/01/1993Pubmed ID
8140703Pubmed Central ID
PMC1298480Scopus ID
2-s2.0-0027756984 (requires institutional sign-in at Scopus site) 33 CitationsAbstract
The clinical course of SPA of the orbit is associated with the age of the patient. That association might be explained through a series of intermediate relationships: the clinical course correlates with the bacterial constituency, the bacterial constituency is related to physiologic derangement within the sinuses, the physiologic derangement may vary with the degree of obstruction of the sinus ostia, and the ostial caliber relative to the volume of the cavity that must be drained decreases with patient age into late adolescence. The controversy between pediatricians and surgeons over the appropriate indications for drainage might be resolved with the acknowledgement that each side is correct on the basis of the patient populations treated. It is hoped that recognition of the age-related variations in SPA will permit a more systematic approach to the management of this complex infectious disease.
Author List
Harris GJAuthor
Gerald J. Harris MD Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AbscessAdolescent
Adult
Age Factors
Anti-Bacterial Agents
Bacteria
Child
Child, Preschool
Drainage
Eye Infections, Bacterial
Female
Humans
Infant
Male
Orbital Diseases
Sinusitis
Tomography, X-Ray Computed
