Sinocutaneous fistula secondary to chronic frontal rhinosinusitis: case series and literature review.

Autor: Wu VF, Smith TL, Poetker DM
Zdroj: Annals of Otology, Rhinology & Laryngology; Oct2008, Vol. 117 Issue 10, p759-763, 5p
Abstrakt: OBJECTIVES: The purpose of this study was to describe the clinical features of a series of patients in whom sinocutaneous fistula developed in the setting of chronic frontal sinusitis. METHODS: We performed a retrospective case review of patients with sinocutaneous fistula. Clinical records, imaging, and operative reports were carefully examined. A complete literature review for relevant studies was performed to examine similar cases and possible pathophysiology. RESULTS: Three patients with sinocutaneous fistula secondary to frontal sinusitis were identified. All patients underwent successful endoscopic sinus surgery with computer-assisted stereotactic localization and closure of the fistula. CONCLUSIONS: Development of sinocutaneous fistula secondary to frontal sinusitis is rare, but still occurs in the modern antibiotic era. Definitive management of this disease process requires 1) a frontal sinusotomy ensuring patency of the outflow tract and 2) fistula excision and multilayer closure. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index