Simultaneous treatment of intracranial complications of paranasal sinusitis
| Autor: | Anna Bartochowska, Łukasz Borucki, Witold Szyfter, Adrian Maciejewski, Aleksandra Kruk-Zagajewska |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Neuronavigation Adolescent Brain Abscess Young Adult 03 medical and health sciences 0302 clinical medicine Paranasal Sinuses medicine Humans Meningitis Sinusitis Empyema Child 030223 otorhinolaryngology Brain abscess Aged Retrospective Studies Empyema Subdural business.industry General Medicine Rhinology Middle Aged medicine.disease Combined Modality Therapy Anti-Bacterial Agents Surgery Paranasal sinuses medicine.anatomical_structure Otorhinolaryngology Epidural Abscess Intracranial complication Cerebritis Drainage Female Neurosurgery medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | European Archives of Oto-Rhino-Laryngology |
| ISSN: | 1434-4726 0937-4477 |
| Popis: | Purpose The objective of this study was to analyse 51 patients with intracranial complications of sinusitis treated in the Department of Otolaryngology and Laryngeal Oncology at Poznań University of Medical Sciences from 1964 to 2016. Materials and methods Males made up a significant portion of study participants at 70.5%. Treatment included simultaneous removal of inflammatory focal points in the paranasal sinuses and drainage of cerebral and epidural abscesses and subdural empyemas under the control of neuronavigation preceded by the implementation of broad-spectrum antibiotics continuously for 4 weeks. Seventy-three intracranial complications were found among 51 patients. Of the 51 patients, 25 had frontal lobe abscesses (including multiple abscesses). Other complications included the following: 16 epidural abscesses, 9 subdural empyemas, 15 meningitis cases, 3 intracerebral abscesses, 3 sinus thrombosis cases and 2 patients with cerebritis. Co-occurrence of these complications worsened the state of the patient and increased the duration of treatment. Patients with frontal lobe abscesses had a better prognosis and less pronounced neurological symptoms in recent years versus earlier treatment approaches. Conclusions Simultaneous treatment of intracranial complications of sinusitis is an effective treatment method that has minimal burden for the patient. From 1964 to 1978, three deaths (17%) were reported among patients with these complications. Since 1978, no deaths were reported in the clinic. |
| Databáze: | OpenAIRE |
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