PMID- 29536253
OWN - NLM
STAT- MEDLINE
DCOM- 20180824
LR  - 20181202
IS  - 1434-4726 (Electronic)
IS  - 0937-4477 (Linking)
VI  - 275
IP  - 5
DP  - 2018 May
TI  - Simultaneous treatment of intracranial complications of paranasal sinusitis.
PG  - 1165-1173
LID - 10.1007/s00405-018-4932-5 [doi]
AB  - 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 Poznan 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.
FAU - Szyfter, Witold
AU  - Szyfter W
AD  - Department of Otolaryngology and Laryngological Oncology, University of Medical
      Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland.
FAU - Bartochowska, Anna
AU  - Bartochowska A
AUID- ORCID: http://orcid.org/0000-0001-7862-1411
AD  - Department of Otolaryngology and Laryngological Oncology, University of Medical
      Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland.
      annabartochowska@gmail.com.
FAU - Borucki, Lukasz
AU  - Borucki L
AD  - Department of Otolaryngology and Laryngological Oncology, University of Medical
      Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland.
FAU - Maciejewski, Adrian
AU  - Maciejewski A
AD  - Department of Rescue Medicine, University of Medical Sciences, Poznan, Poland.
FAU - Kruk-Zagajewska, Aleksandra
AU  - Kruk-Zagajewska A
AD  - Department of Otolaryngology and Laryngological Oncology, University of Medical
      Sciences, Przybyszewskiego Street 49, 60-355, Poznan, Poland.
LA  - eng
PT  - Journal Article
DEP - 20180313
PL  - Germany
TA  - Eur Arch Otorhinolaryngol
JT  - European archives of oto-rhino-laryngology : official journal of the European
      Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the
      German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
JID - 9002937
RN  - 0 (Anti-Bacterial Agents)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Anti-Bacterial Agents/*therapeutic use
MH  - Brain Abscess/etiology/*therapy
MH  - Child
MH  - Combined Modality Therapy
MH  - *Drainage
MH  - Empyema, Subdural/etiology/*therapy
MH  - Epidural Abscess/etiology/*therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Paranasal Sinuses/*surgery
MH  - Retrospective Studies
MH  - Sinusitis/*complications/surgery
MH  - Young Adult
PMC - PMC5893661
OTO - NOTNLM
OT  - Brain abscess
OT  - Empyema
OT  - Intracranial complication
OT  - Meningitis
OT  - Sinusitis
EDAT- 2018/03/15 06:00
MHDA- 2018/08/25 06:00
CRDT- 2018/03/15 06:00
PHST- 2018/02/12 00:00 [received]
PHST- 2018/03/09 00:00 [accepted]
PHST- 2018/03/15 06:00 [pubmed]
PHST- 2018/08/25 06:00 [medline]
PHST- 2018/03/15 06:00 [entrez]
AID - 10.1007/s00405-018-4932-5 [doi]
AID - 10.1007/s00405-018-4932-5 [pii]
PST - ppublish
SO  - Eur Arch Otorhinolaryngol. 2018 May;275(5):1165-1173. doi:
      10.1007/s00405-018-4932-5. Epub 2018 Mar 13.