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Scientific Oral Presentations

Rhinology/Allergy

Session: Scientific Oral Presentations 2 - Rhinology/Allergy

Differences Between Adult and Pediatric Periorbital Cellulitis Secondary to Acute Rhinosinusitis

Sunday, September 29, 2024
1:18 PM – 1:24 PM EDT
Location: MBCC, 230
Disclosure(s):
John A. Dewey, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Amani N. Kais, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

John Nguyen, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Hassan H. Ramadan, MD, MSc:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Chadi A. Makary, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Introduction: The goal of this study is to investigate the clinical differences between adult and pediatric patients presenting with periorbital cellulitis secondary to acute rhinosinusitis (ARS).

Methods: Retrospective cohort study of patients presenting to the emergency department with acute periorbital cellulitis secondary to ARS from 2012 to 2022 at a tertiary academic medical center. Patients’ past medical history, treatment, hospital length of stay (LoS), and readmission rates were reviewed.

Results: 163 patients were identified on chart review and included of which 80 were adults (age >18 years). Mean age in the pediatric cohort was 6.4 (±4.6) years vs 49.2 (± 18.5) years in the adult cohort. Both adults and children had similar computed tomography (CT) Lund-Mackay scores (9.2 vs 10.2, p=0.191 respectively) and similar incidence of post-septal cellulitis (68.8% vs 65.1%, p=0.617 respectively). The adult patients were more likely to require surgical treatment (45% vs 21.7%, p=0.002), more likely to have neurological complications (11.3% vs 0%, p=0.002), had longer hospital stay (LoS) (6.9 vs 3.6 days, p=0.002), and more likely to require readmission within 30 days (16.3% vs 6%, p=0.037). Multivariate analyses showed that the adult population was independently associated with requiring surgical treatment (OR=2.7, 95% CI=1.3-6) but not with a longer hospital LoS (Coef 1.1, 95% CI=-0.5-2.7).

Conclusions: Adult patients presenting with acute periorbital cellulitis secondary to ARS are more likely to need surgical intervention and more likely to have longer hospital stay. Longer hospital stay in adult patients may be secondary to sequelae of the infection such as neurological complications.

    Presenting Author(s)

  • JD

    John A. Dewey, MD

    Resident, PGY-3
    West Virginia University
    Morgantown, WV, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

    • Co-Author(s)

  • AK

    Amani N. Kais, MD

    Resident
    West Virginia University
    Morgantown, West Virginia, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

  • JN

    John Nguyen, MD

    Ophthalmic Plastic and Reconstructive Surgery Fellowship Director
    West Virginia University
    Morgantown, WV, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

  • HR

    Hassan H. Ramadan, MD, MSc

    Professor and Chairman
    West Virginia University
    Morgantown, WV, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

    • Senior Author(s)

  • Chadi A. Makary, MD

    Associate Professor
    West Virginia University Dept of Oto
    Morgantown, WV, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.