Gender differences in the management of pediatric orbital cellulitis

IF 1.8 4区医学 Q2 OTORHINOLARYNGOLOGY

American Journal of Otolaryngology Pub Date : 2025-05-02 DOI:10.1016/j.amjoto.2025.104661

Tyler Wanstreet, Amani Kais, Chadi A. Makary, Ruifeng Cui, Hassan H. Ramadan

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Abstract

Objective

The aim of this study is to investigate gender differences in the disease severity and management of orbital infections in children hospitalized for treatment.

Methods

Retrospective cohort study of all children aged 0 to 18 years who had a confirmed diagnosis of preseptal or postseptal cellulitis and were hospitalized over a 15-year period.

Results

The sample consisted of 124 children, 52.4 % male, with mean age of 7.1 years (SD = 4.88, range = 4.9–18) and a relatively equal distribution between preseptal (52.4 %) and postseptal (47.6 %) cellulitis. Although males and females did not differ in rates of preseptal and postseptal cellulitis and Lund-Mackay scores (p > 0.05 for all), males were more likely to undergo surgical management (21.5 % vs 8.5 %; p = 0.049).

Conclusion

Additional research is needed to understand why the management of cellulitis differs between male and female pediatric patients and how it may affect treatment outcomes.

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儿童眼眶蜂窝织炎处理的性别差异

目的探讨住院儿童眼窝感染严重程度及处理的性别差异。方法回顾性队列研究所有年龄在0 ~ 18岁、确诊为室间隔前或室间隔后蜂窝织炎并住院15年以上的儿童。结果本组儿童124例，男性占52.4%，平均年龄7.1岁（SD = 4.88，范围= 4.9 ~ 18），室间隔前蜂窝织炎（52.4%）和室间隔后蜂窝织炎（47.6%）的分布相对均匀。尽管男女在室间隔前和室间隔后蜂窝织炎的发病率和隆德-麦凯评分方面没有差异(p >；0.05)，男性更有可能接受手术治疗(21.5% vs 8.5%；p = 0.049)。结论需要进一步的研究来了解为什么男女儿童蜂窝织炎的处理不同，以及它如何影响治疗结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Otolaryngology 医学-耳鼻喉科学

CiteScore

4.40

自引率

4.00%

发文量

378

审稿时长

41 days

期刊介绍： Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.