MAJOR COMPLICATIONS OF PANSINUSITIS IN CHILDREN; PRESENTETION OF A SUBDURAL EMPYEMEA
Authors:
Asterios Antoniou1, Despoina Michailidou1, Vaia Aikaterini Alexoudi1, Vasilis Tsitouras2, Konstantinos Paraskevopoulos1, Konstantinos Vahtsevanos1
Affiliation:
1. Department of Oral and Maxillofacial Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece
2. Department of Neurosurgery, Ippokrateio General Hospital, Thessaloniki, Greece
Doi: 10.54936/haoms242p14
ABSTRACT:
Objectives: Subdural empyema can be a life-threatening complication of pansinusitis if not properly diagnosed and treated especially in children population. The aim of this study is to present a case report in order to highlight the importance of early diagnosis and treatment.
Materials And Methods: An 8 year old male patient after 15 days of hospitalization in a tertiary hospital due to paranasal and frontal sinusitis, displayed clinical symptoms of orbital cellulitis and central nervous system infection with febrile seizures and hemiplegia and admitted in the intensive care unit. The computed tomography showed a subdural empyema.
Results: The patient underwent in a combined approach surgical drainage of the left paranasal and frontal sinus by an oral and maxillofacial team and frontal craniotomy and drainage of the subdural empyema by an neurosurgery team. The postoperative clinical course was uneventful.
Conclusion: Secondary central nervous system infections as a complication of sinusitis in children population is not a rare entity and can be lethal if not diagnosed and treated early. A multidisciplinary team is mandatory for the most efficient traetment modality.
KEY WORDS:
Authors:
Asterios Antoniou1, Despoina Michailidou1, Vaia Aikaterini Alexoudi1, Vasilis Tsitouras2, Konstantinos Paraskevopoulos1, Konstantinos Vahtsevanos1
Affiliation:
1. Department of Oral and Maxillofacial Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece
2. Department of Neurosurgery, Ippokrateio General Hospital, Thessaloniki, Greece
Doi: 10.54936/haoms242p14
ABSTRACT:
Objectives: Subdural empyema can be a life-threatening complication of pansinusitis if not properly diagnosed and treated especially in children population. The aim of this study is to present a case report in order to highlight the importance of early diagnosis and treatment.
Materials And Methods: An 8 year old male patient after 15 days of hospitalization in a tertiary hospital due to paranasal and frontal sinusitis, displayed clinical symptoms of orbital cellulitis and central nervous system infection with febrile seizures and hemiplegia and admitted in the intensive care unit. The computed tomography showed a subdural empyema.
Results: The patient underwent in a combined approach surgical drainage of the left paranasal and frontal sinus by an oral and maxillofacial team and frontal craniotomy and drainage of the subdural empyema by an neurosurgery team. The postoperative clinical course was uneventful.
Conclusion: Secondary central nervous system infections as a complication of sinusitis in children population is not a rare entity and can be lethal if not diagnosed and treated early. A multidisciplinary team is mandatory for the most efficient traetment modality.
KEY WORDS: