Orbital cellulitis classification: Difference between revisions
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Tarek Nafee (talk | contribs) (/* Chandler's Classification{{cite journal| author=Martin-Hirsch DP, Habashi S, Hinton AH, Kotecha B| title=Orbital cellulitis. | journal=Arch Emerg Med | year= 1992 | volume= 9 | issue= 2 | pages= 143-8 | pmid=1388488 | doi= | pmc=1285851 | url=http:/...) |
Tarek Nafee (talk | contribs) (/* Chandler's Classification{{cite journal| author=Martin-Hirsch DP, Habashi S, Hinton AH, Kotecha B| title=Orbital cellulitis. | journal=Arch Emerg Med | year= 1992 | volume= 9 | issue= 2 | pages= 143-8 | pmid=1388488 | doi= | pmc=1285851 | url=http:/...) |
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*'''Abscess vs. No Abscess:''' | *'''Abscess vs. No Abscess:''' | ||
===Chandler's Classification<ref name="pmid1388488">{{cite journal| author=Martin-Hirsch DP, Habashi S, Hinton AH, Kotecha B| title=Orbital cellulitis. | journal=Arch Emerg Med | year= 1992 | volume= 9 | issue= 2 | pages= 143-8 | pmid=1388488 | doi= | pmc=1285851 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1388488 }} </ref> of Complications of Sinusitis=== | ===Chandler's Classification<ref name="pmid1388488">{{cite journal| author=Martin-Hirsch DP, Habashi S, Hinton AH, Kotecha B| title=Orbital cellulitis. | journal=Arch Emerg Med | year= 1992 | volume= 9 | issue= 2 | pages= 143-8 | pmid=1388488 | doi= | pmc=1285851 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1388488 }} </ref> of Complications of Sinusitis=== | ||
*'''Stage I:''' [[periorbital cellulitis|Preseptal Cellulitis]] - Also known as | *'''Stage I:''' [[periorbital cellulitis|Preseptal Cellulitis]] - Also known as [[periorbital cellulitis]], this condition is not classified as true orbital edema. It is rarely extends to become true post-septal orbital edema. It is characterized by lid [[edema]], and no changes in visual acuity or ocular movements.<br> | ||
*'''Stage II:''' Orbital cellulitis - Also known as postseptal cellulitis or true orbital cellulitis. Diffuse orbital inflammation without abscess formation.<br> | *'''Stage II:''' Orbital cellulitis - Also known as postseptal cellulitis or true orbital cellulitis. Diffuse orbital inflammation without abscess formation.<br> | ||
*'''Stage III:''' Subperiosteal abscess<br> | *'''Stage III:''' Subperiosteal abscess<br> | ||
Revision as of 12:42, 22 July 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]
Overview
Orbital cellulitis may be classified by various features of the disease. In 1970, Chandler's classification was created to describe five groups of complications of sinusitis by invading the surrounding tissue.[1]. Alternative ways of classifying the disease is by the microbial family of the offending pathogen (Bacterial vs. Fungal), or by the management protocol (Medical vs. Surgical therapy).
Classification
- Bacterial vs. Fungal:
- Abscess vs. No Abscess:
Chandler's Classification[1] of Complications of Sinusitis
- Stage I: Preseptal Cellulitis - Also known as periorbital cellulitis, this condition is not classified as true orbital edema. It is rarely extends to become true post-septal orbital edema. It is characterized by lid edema, and no changes in visual acuity or ocular movements.
- Stage II: Orbital cellulitis - Also known as postseptal cellulitis or true orbital cellulitis. Diffuse orbital inflammation without abscess formation.
- Stage III: Subperiosteal abscess
- Stage IV: Orbital abscess
- Stage V: Intracranial involvement/Cavernous Sinus Thrombosis.