Autor: |
Urbančič J; Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.; Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia., Vozel D; Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.; Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia., Battelino S; Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.; Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia., Bošnjak R; Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia.; Department of Neurosurgery, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia., Kokošar Ulčar B; Department of Infectious Diseases, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia., Matos T; Institute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia., Munda M; Department of Neurosurgery, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia., Papst L; Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia.; Department of Infectious Diseases, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia., Steiner N; Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia., Vouk M; Department of Radiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia., Zidar N; Institute of Pathology, Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia. |
Abstrakt: |
Atypical skull-base osteomyelitis is a rare but fatal disease that usually involves infection of the ethmoid, sphenoid, occipital, or temporal bones that form the skull base. Unlike typical (so-called otogenic), atypical skull-base osteomyelitis has no otogenic cause. Instead, some authors call atypical skull-base osteomyelitis sinonasal, since the infection most often originates from the nose and paranasal sinuses. Diagnosing and treating this disease is challenging. To assist in managing atypical skull-base osteomyelitis, a review of the most recent literature, with patient cases and multidisciplinary perspectives from otolaryngologists, neurosurgeons, radiologists, infectious disease specialists, pathologists, and clinical microbiologists, is provided in this paper. |