Celulite orbitária e periorbitária e suas implicações intracranianas
Apresentação de casos e revisão da literatura
DOI:
https://doi.org/10.51437/nj.v31i1.392Keywords:
Absceso orbitario, celulitis orbitaria, celulitis periorbitaria, sinusitis, complicaciones cerebralesAbstract
Introdução: A celulite orbitária e periorbitária é uma infecção do conteúdo orbitário que é tratada como urgência oftalmológica, pois está associada a complicações potencialmente graves no sistema nervoso central (SNC).
Pacientes e Métodos: Os autores apresentam uma série de 11 casos de celulite orbitária e periorbitária, associada a revisão de literatura usando as seguintes bases: PubMed, Scielo, Scientific Direct, Ebsco, LILACS, TripDataBase e Cochrane, usando os termos: Orbital Cellulitis and Periorbital Cellulitis. Foram selecionados artigos com recorte temporal de 1986 a 2020, resultando em um
total de 60 artigos que preencheram os critérios de inclusão levando em conta suas citações e seus respectivos impactos.
Resultados: Oito pacientes do gênero masculino e três do feminino. A média de idade foi de 14 anos. As causas mais comuns foram: trauma e sinusite frontal. Quanto à localização, oito foram pré-septal e três orbitais, sendo seis unilaterais e cinco bilaterais. A tomografia computadorizada foi importante no diagnóstico, conduta e prognóstico. Oito pacientes foram tratados conservadoramente, e três através de intervenção cirúrgica. Dois pacientes evoluíram para trombose do seio cavernoso e três com empiema subdural. Nove apresentaram bons resultados, moderado um e outro óbito. Dois pacientes com sequelas tipo crises
convulsivas.
Conclusão: O diagnóstico precoce associado a um tratamento efetivo conduz a evolução para um bom prognóstico.
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