Intracranial complications of sinusitis: what is the role of endoscopic sinus surgery in the acute setting

American Journal of Otolaryngology
John M DelGaudioShatul L Parikh

Abstract

Intracranial complications of sinusitis (ICS) are uncommon in the antibiotic era. The role of neurosurgical drainage of ICS is fairly well established, but the role for acute surgical intervention for the sinus disease is not well defined. We retrospectively reviewed our experience with ICS to see if we could identify the role and effectiveness of endoscopic sinus surgery (ESS) in the acute setting of ICS. The study used a retrospective review of patients presenting to a tertiary care academic medical center for a 6-year period. Twenty-three patients were identified with ICS, including epidural (8), subdural (10), intracerebral abscesses (2), and meningitis (3). Males were more affected than females (7:1). Twenty patients were 21 years old or younger. Twenty-two patients (96%) had radiologic evidence of frontal sinusitis with prefrontal or frontal lobe ICS at presentation. Medical therapy alone was successful in avoiding craniotomy in only 3 of 8 cases. Endoscopic sinus surgery and intravenous antibiotics as initial treatment was successful in avoiding craniotomy in only 1 of 6 patients. Of 23 patients, 18 underwent neurosurgical procedures--9 emergent procedures for abscesses more than 1 cm and 9 delayed procedures for persist...Continue Reading

References

Sep 1, 1971·The Laryngoscope·C W Whitaker
Jul 1, 1984·The Journal of Laryngology and Otology·P J BradleyM D Shaw
May 1, 1994·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·E A Rosenfeld, A H Rowley
Dec 1, 1996·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J M Gwaltney
Nov 18, 1998·The Laryngoscope·R M GallagherC D Phillips

❮ Previous
Next ❯

Citations

Aug 16, 2012·The Journal of Laryngology and Otology·C Domville-LewisP L Santa Maria
Feb 20, 2016·International Forum of Allergy & Rhinology·Richard R OrlandiDavid W Kennedy
Oct 27, 2010·Neuroimaging Clinics of North America·Joseph M Hoxworth, Christine M Glastonbury
Oct 12, 2013·Clinical Oral Implants Research·Federico Biglioli, Matteo Chiapasco
Apr 19, 2015·International Journal of Pediatric Otorhinolaryngology·Anant P PatelBrian M Fish
Feb 24, 2015·Brazilian Journal of Otorhinolaryngology·Wilma T Anselmo-LimaShirley Shizue Nagata Pignatari
Jun 17, 2011·The Annals of Otology, Rhinology, and Laryngology·Samuel Chee LeongSujata De
Mar 7, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Stephanie Shintani SmithCharlesnika T Evans
Mar 28, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Sarah A GitomerBinoy M Chandy
Jan 20, 2018·BMJ Case Reports·Mikkel Seremet KofoedAnette Drøhse Kjeldsen
Feb 7, 2018·Current Neurology and Neuroscience Reports·Andrea ZieglerJames Stankiewicz
Jun 19, 2019·The Laryngoscope·Ravi R ShahEdward C Kuan
Aug 16, 2016·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·George M GhobrialChristopher J Farrell
Oct 8, 2013·Southern Medical Journal·Brent FeldtKevin C McMains
Feb 2, 2021·American Journal of Rhinology & Allergy·Stephen R ChorneyMark D Rizzi
Nov 26, 2020·International Forum of Allergy & Rhinology·Richard R OrlandiBing Zhou
May 28, 2021·BMJ Case Reports·Aswin ChandranRajeev Kumar
Jun 2, 2021·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·Carla De VitaErnesto Pasquini
Jun 4, 2011·Current Opinion in Otolaryngology & Head and Neck Surgery

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Bacterial Meningitis (ASM)

Bacterial meningitis continues to be an important cause of mortality and morbidity throughout the world. Here is the latest research.

Bacterial Meningitis

Bacterial meningitis continues to be an important cause of mortality and morbidity throughout the world. Here is the latest research.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Emergency Medicine Journal : EMJ
P A R Armstrong, N M Nichol
The Pediatric Infectious Disease Journal
Savithri NageswaranAvinash K Shetty
© 2022 Meta ULC. All rights reserved