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Simultaneous treatment of intracranial complications of paranasal sinusitis
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 st...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893661/ https://www.ncbi.nlm.nih.gov/pubmed/29536253 http://dx.doi.org/10.1007/s00405-018-4932-5 |
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author | Szyfter, Witold Bartochowska, Anna Borucki, Łukasz Maciejewski, Adrian Kruk-Zagajewska, Aleksandra |
author_facet | Szyfter, Witold Bartochowska, Anna Borucki, Łukasz Maciejewski, Adrian Kruk-Zagajewska, Aleksandra |
author_sort | Szyfter, Witold |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5893661 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-58936612018-04-16 Simultaneous treatment of intracranial complications of paranasal sinusitis Szyfter, Witold Bartochowska, Anna Borucki, Łukasz Maciejewski, Adrian Kruk-Zagajewska, Aleksandra Eur Arch Otorhinolaryngol Rhinology 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. Springer Berlin Heidelberg 2018-03-13 2018 /pmc/articles/PMC5893661/ /pubmed/29536253 http://dx.doi.org/10.1007/s00405-018-4932-5 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Rhinology Szyfter, Witold Bartochowska, Anna Borucki, Łukasz Maciejewski, Adrian Kruk-Zagajewska, Aleksandra Simultaneous treatment of intracranial complications of paranasal sinusitis |
title | Simultaneous treatment of intracranial complications of paranasal sinusitis |
title_full | Simultaneous treatment of intracranial complications of paranasal sinusitis |
title_fullStr | Simultaneous treatment of intracranial complications of paranasal sinusitis |
title_full_unstemmed | Simultaneous treatment of intracranial complications of paranasal sinusitis |
title_short | Simultaneous treatment of intracranial complications of paranasal sinusitis |
title_sort | simultaneous treatment of intracranial complications of paranasal sinusitis |
topic | Rhinology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893661/ https://www.ncbi.nlm.nih.gov/pubmed/29536253 http://dx.doi.org/10.1007/s00405-018-4932-5 |
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