Subperiosteal abscess of the orbit: Evolving pathogens and the therapeutic protocol

  • Liao J
  • Harris G
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Abstract

Purpose Because of widespread antibiotic use, immunization against selective species, and the emergence of hypervirulent organisms, we sought to determine changes over time in the bacteriology of sinusitis-related subperiosteal abscess (SPA) of the orbit and their impact on patient outcomes under a uniform management protocol. Design Comparative case series. Subjects Patients ≤18 years of age with sinusitis-related SPA treated from 2002 to 2012; comparable cohorts from earlier time frames. Methods We analyzed culture results and outcomes in surgical cases, compared overall and age-specific results with those in a 1977 through 1992 patient series, and compared the proportion of patients

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