Diagnosis and treatment of intracranial complications of paranasal sinus infections
Autor: | Robert W. Dolan, Khalid Chowdhury |
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Rok vydání: | 1995 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Epidural abscess Brain Abscess Cavernous sinus thrombosis Meningitis Bacterial Sinus Thrombosis Intracranial Frontal Sinusitis medicine Humans Sinusitis Abscess Brain abscess Aged Subdural empyema Empyema Subdural Ethmoid Sinusitis Sphenoid Sinusitis business.industry Bacterial Infections Middle Aged medicine.disease Magnetic Resonance Imaging Empyema Anti-Bacterial Agents Surgery Otorhinolaryngology Cavernous sinus Drainage Cavernous Sinus Female Radiology Oral Surgery Tomography X-Ray Computed business Craniotomy |
Zdroj: | Journal of Oral and Maxillofacial Surgery. 53:1080-1087 |
ISSN: | 0278-2391 |
DOI: | 10.1016/0278-2391(95)90128-0 |
Popis: | Complications and local extension of paranasal sinus infections most often involve the orbit and periorbita. Because of the widespread use of antibiotics since World War II, intracranial extension of maxillofacial sinusitis is rarely seen today. Nevertheless, the clinician must be aware of the potential for these complications, because late recognition of this condition and delays in treatment can increase morbidity and mortality rates. A comprehensive, current review of sinogenic intracranial complications is presented, with illustrative cases of brain abscess, subdural empyema, meningitis, cavernous sinus thrombosis, epidural abscess, and osteomyelitis. The mechanisms and potential for intracranial spread of infection from the frontal, sphenoid, and ethmoid sinuses are discussed in detail. The management of each type of complication is outlined, including the use of computed tomography and magnetic resonance imaging, and the role of surgical drainage. |
Databáze: | OpenAIRE |
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