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Orbital sellülitli olgularımızda klinik özellikler ve tedavi sonuçları

Clinical features and outcomes of treatment in our patients with orbital cellulitis

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2007

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Abstract (2. Language): 
In our study we aimed to evaluate the clinical features, etiologies and outcomes of treatment in our patients with orbital cellulitis. Medical records of 17 cases diagnosed to have orbital cellulitis between February 1995 and March 2006 were retrospectively reviewed. Symptoms of patients, results of ocular and periocular examination, laboratory and radiologic findings, etiologic agents, and medical and surgical treatment modalities administered were recorded. There were 10 male and 7 female patients, and their ages ranged between 2 to 82 years. Follow-up period ranged between 2 months to 9 years. The sources of orbital cellulitis were orbital trauma in 2 cases, intraorbital foreign body in 2 cases, dacryocystitis in 3 patients, paranasal sinusitis in 8 patients, and endogenous spread in 2 cases. One immunosupresive patient was lost despite enucleation and intensive systemic therapy. We did not observe any relapses in our cases, and none of our patients lost their vision after therapy when compared to that before therapy. Orbital abscesses were surgically drained in 2 cases and lesion becoming granulation tissue was excised in 1 case. As a conclusion orbital cellulitis is a life-threatening condition when not treated appropriately and in immunocompromised patients.
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Abstract (Original Language): 
Çalışmamızda orbital sellülitli olguların klinik özelliklerinin, etiyolojik sebeplerinin ve tedavi sonuçlarının değerlendirilmesi amaçlanmıştır. Şubat 1995 ile Mart 2006 tarihleri arasında orbital sellülit tanısı konmuş 17 olgunun kayıtları retrospektif olarak incelendi. Hastaların yakınmaları, göz ve perioküler muayene bulguları, biyokimyasal ve radyolojik bulgular, etiyolojik ajanlar, uygulanan tıbbi ve cerrahi tedaviler kaydedildi. Olguların 10'u erkek, 7'si bayan olup, yaşları 2 ile 82 yıl arasında değişiyordu. Tüm olgular 2 ay ile 9 yıl arasında takip edildi. Orbital sellülitlerin 2'si travma, 2'si intraorbital yabancı cisim, 3'ü dakriyosistit, 8'i paranazal sinüs enfeksiyonu, 2 olguda ise endojen kaynaklı olarak ortaya çıkmıştı. İmmünsüpresif bir olgu enükleasyon ve yoğun sistemik tedaviye rağmen kaybedilmiştir. Olgularımızda nüks görülmemiş olup başvurdukları görme seviyelerine göre tedavi sonrası görme kaybı olmamıştır. Üç olguda gelişen orbital abseden 2'si drene edilmiştir. Bir olguda ise granülasyon dokusu şeklini alan lezyon eksizyonel biyopsi ile alınmıştır. Sonuç olarak orbital sellülit uygun tedavi yapılmadığı durumlarda ve immünsüpresif hastalarda hayati tehlike doğurabilecek ciddi bir klinik tablodur.
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  • 2
81-86
  • Turkish

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