Gender differences in the management of pediatric orbital cellulitis
Gender differences in the management of pediatric orbital cellulitis

Gender differences in the management of pediatric orbital cellulitis

Am J Otolaryngol. 2025 May 2;46(5):104661. doi: 10.1016/j.amjoto.2025.104661. Online ahead of print.

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.

PMID:40378424 | DOI:10.1016/j.amjoto.2025.104661