RESUMO
El síndrome de apnea obstructiva del sueño (SAOS) puede ser causa en el niño de graves complicaciones orgánicas y funcionales que repercuten en su correcto desarrollo. No es bien conocida la incidencia del problema en nuestro medio, pero sí parece demostrado que la hipertrofia amigdalar y/o adenoidea desempeñan un papel en la génesis fundamental del problema en el niño. Intentaremos repasar los aspectos básicos para el correcto estudio de este síndrome (AU)
Assuntos
Adolescente , Adulto , Feminino , Pré-Escolar , Lactente , Masculino , Criança , Humanos , Recém-Nascido , Apneia Obstrutiva do Sono/diagnóstico , Desenvolvimento Infantil , Apneia Obstrutiva do Sono/complicações , Apneia Obstrutiva do Sono/etiologia , Polissonografia , Sono/fisiologia , Fases do Sono , Tonsila do Cerebelo , Tonsila FaríngeaRESUMO
Orbital cellulitis is an uncommon complication resulting from a spectrum of disorders commonly found in pediatric practice. It usually occurs as a complication of infection of the paranasal sinuses, although it also can be caused by eyelid or dental juries, dental infection and external ocular infection. We studied the clinical, microbiological, and therapeutic features of 152 children diagnosed as periorbital cellulitis and 27 children with orbital cellulitis admitted to our hospital in a 16-year period from January 1983 to December 1998. Twenty-four percent of patients (43 cases) had positive cultures. Thirty children with septal or preseptal cellulitis developed neurological or ophthalmological complications. Intravenous or oral antibiotic administration was effective in 150 patients, but a significant proportion required surgery of the paranasal sinus or orbit (16%).
Assuntos
Infecções Bacterianas/terapia , Celulite (Flegmão)/terapia , Doenças Orbitárias/terapia , Algoritmos , Infecções Bacterianas/microbiologia , Cefotaxima/uso terapêutico , Celulite (Flegmão)/etiologia , Criança , Pré-Escolar , Quimioterapia Combinada/uso terapêutico , Feminino , Humanos , Masculino , Doenças Orbitárias/etiologia , Estudos Prospectivos , Estudos RetrospectivosRESUMO
La celulitis orbitaria es una patología relativamente infrecuente en la práctica pediátrica, normalmente aparece como complicación de la sinusitis, aunque también puede ser debida a traumatismos faciales o dentarios, infecciones dentarias, o infecciones óculo-lacrimales. Presentamos nuestra casuística de pacientes diagnosticados de celulitis peri u orbitaria durante los últimos 16 años desde enero de 1983 a diciembre de 1998, sus hallazgos clínicos, microbiológicos, y terapéuticos. 152 niños correspondían a celulitis periorbitarias y 27 niños a celulitis orbitarias. El 24 por ciento de los pacientes (43 casos) tenían cultivos positivos, 30 casos con celulitis peri u orbitaria desarrollaron complicaciones neurológicas u oftalmológicas, el tratamiento consistió en antibioterapia únicamente en 150 casos, precisando el 16 por ciento de los casos además tratamiento quirúrgico (AU)
Orbital cellulitis is an uncommon complication resulting from a spectrum of disorders commonly found in pediatric practice. It usually occurs as a complication of infection of the paranasal sinuses, although it also can be caused by eyelid or dental juries, dental infection and external ocular infection. We studied the clinical, microbiological, and therapeutic features of 152 children diagnosed as periorbital cellulitis and 27 children with orbital cellulitis admitted to our hospital in a 16-year period from January 1983 to December 1998. Twenty-four percent of patients (43 cases) had positive cultures. Thirty children with septal or preseptal cellulitis developed neurological or ophthalmological complications. Intravenous or oral antibiotic administration was effective in 150 patients, but a significant proportion required surgery of the paranasal sinus or orbit (16%) (AU)
Assuntos
Pré-Escolar , Criança , Masculino , Feminino , Humanos , Doenças Orbitárias , Infecções Bacterianas/terapia , Celulite/terapia , Quimioterapia Combinada , Estudos Retrospectivos , Cefotaxima/uso terapêutico , Algoritmos , Estudos ProspectivosRESUMO
Orbital and periorbital cellulitis, which can result from a spectrum of disorders that are commonly encountered in pediatric practice, usually develops as a complication of paranasal sinus infection, and also can result from dental infection, trauma to the eyelids or external ocular infection. The clinical features, microbiological data and treatment of 97 children with periorbital cellulitis and 19 children with orbital cellulitis, admitted to our hospital from January 1983 through December 1993, are reported here. Twenty-three percent of the children (27 cases) had positive cultures, 7 cases with orbital cellulitis developed neurological or ophthalmological complications. Antibiotic therapy alone was effective in 97 patients, but a significant proportion required paranasal sinus or orbital surgery (16%).
