Subperiosteal inflammation of the orbit. A bacteriological analysis of 17 cases.
Subperiosteal inflammation of the orbit. A bacteriological analysis of 17 cases.
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眼眶骨膜下炎症。
DOI：
10.1001/archopht.1988.01060140093032
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发表时间：
1988
影响因子：
--
通讯作者：
G. Harris
中科院分区：
文献类型：
--
作者：
G. Harris
对17例鼻窦炎继发的眼眶骨膜下炎症进行了细菌学分析。检出的病原菌从单一需氧菌到混合需氧菌和厌氧菌不等。细菌学与鼻窦炎症状持续时间无关。3例符合骨膜下炎症诊断标准，单用抗生素治愈。最难治的感染具有最复杂的细菌群，尽管个别生物体对体外抗生素敏感，但仍持续存在。在这些情况下，当地的物理条件可能会发生剧烈的变化，有利于细菌。通过手术引流骨膜下间隙和鼻窦的通风可以帮助使周围环境正常化，有利于宿主。
Seventeen cases of subperiosteal inflammation of the orbit secondary to sinusitis were analyzed from a bacteriological perspective. The recovered pathogens ranged from single aerobes to mixed aerobes and anaerobes. The bacteriology was not related to the duration of symptoms of sinusitis. Three cases with the diagnostic criteria for subperiosteal inflammation resolved with antibiotics alone. The most refractory infections had the most complex bacterial constituencies and persisted despite in vitro antibiotic susceptibility of individual organisms. In these cases, local physical conditions may be drastically altered in favor of the bacteria. Ventilation of the subperiosteal space and sinuses by surgical drainage can help to normalize the milieu in favor of the host.