Orbital cellulitis classification: Difference between revisions
Tarek Nafee (talk | contribs) /* Chandler's Classification of Complications of Sinusitis{{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 | d... |
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==Overview== | ==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.<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> | 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.<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> 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== | ==Classification== | ||
Revision as of 13:08, 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 infection vs. Non-Bacterial infection (Fungal :
- Abscess vs. No Abscess:
Chandler's Classification of Complications of Sinusitis[1]
- Stage I: Preseptal Cellulitis - Also known as periorbital cellulitis, this condition is not classified as true orbital cellulitis. It is rarely extends to become true postseptal orbital cellulitis. 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.