scholarly journals Unusual case of isolated frontal sinus mycosis after several years of frontal sinus fracture: case report

2014 ◽  
Vol 33 (04) ◽  
pp. 368-374
Author(s):  
Demian Manzano Lopez Gonzalez ◽  
Pablo Rubino
Keyword(s):  
Case Report ◽  
Fungal Infection ◽  
Maxillary Sinus ◽  
Paranasal Sinus ◽  
Frontal Sinus ◽  
Unusual Case ◽  
Immunocompetent Patient ◽  
Maxillofacial Fractures ◽  
Frontal Sinus Fracture ◽  
Traumatic Episode

AbstractFractures of the frontal sinus account for 5 to 12% of all the maxillofacial fractures. There are different complications related to frontal sinus fractures and some of them may develop even years after the traumatic episode. Isolated fungal infection of the frontal sinus is very exceptional. The most commonly affected paranasal sinus by fungal infection is maxillary sinus. We present an unusual case of isolated fungal infection of the frontal sinus on an immunocompetent patient who had an old frontal sinus fracture that had happened 70 years before. To the best of our knowledge, this is the first reported case in which these particular circumstances coexist.

scholarly journals Complications of Frontal Sinus Fractures

2009 ◽  
Vol 2 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Stephen E. Metzinger ◽  
Rebecca C. Metzinger
Keyword(s):  
Frontal Sinus ◽  
Fracture Pattern ◽  
Medical Attention ◽  
Associated Injuries ◽  
Soft Tissue Envelope ◽  
Patient Gender ◽  
Maxillofacial Fractures ◽  
Long Term Follow Up ◽  
Frontal Sinus Fracture ◽  
The One

Frontal sinus fracture represents 5 to 12% of all maxillofacial fractures. Because of the anatomic position of the frontal sinus and the enormous amount of force required to create a fracture in this area, these injuries are often devastating and associated with other trauma. Associated injuries include skull base, intracranial, ophthalmologic, and maxillofacial. Complications should be categorized to address these four areas as well as the skin—soft tissue envelope, muscle, and bone. Other variables that should be examined are age of the patient, gender, mechanism of injury, fracture pattern, method of repair, and associated injuries. Management of frontal sinus fractures is so controversial that the indications, timing, method of repair, and surveillance remain disputable among several surgical specialties. The one universal truth that is agreed upon is that all patients undergoing reconstructive surgery of the frontal sinus have a lifelong risk for delayed complications. It is hoped that when patients do experience the first symptoms of a complication, they seek immediate medical attention and avoid potentially life-threatening situations and the need for crippling or disfiguring surgery. The best way to facilitate this is through long-term follow-up and routine surveillance.

Pneumosinus dilatans, pneumocoele or air cyst? A case report and literature review

2011 ◽  
Vol 126 (1) ◽  
pp. 88-93 ◽  
Author(s):  
B M Teh ◽  
C Hall ◽  
S W Chan
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Maxillary Sinus ◽  
Key Words ◽  
Paranasal Sinus ◽  
Facial Pain ◽  
Surgical Intervention ◽  
Pneumosinus Dilatans

AbstractBackground:Pathological paranasal sinus expansion secondary to air is uncommon. However, this condition may be symptomatic or cosmetically apparent, requiring surgical intervention. Various terms have been used to describe this condition, and nomenclature is controversial.Method:An 18-year-old man presented with right facial pain, and was subsequently found to have pneumosinus dilatans of the maxillary sinus. A search was conducted of the PubMed, Medline and Embase databases, using the key words ‘pneumosinus dilatans’, ‘pneumoc(o)ele’, ‘pneumatoc(o)ele’ and ‘maxillary sinus’. Articles were also hand-searched. Relevant articles published in English were reviewed.Results:The literature review identified 36 cases involving the maxillary sinus (including the present case), with 19 cases reported as pneumosinus dilatans, 12 as pneumocoeles, two as pneumatocoeles, two as pneumosinus dilatans multiplex and one as an air cyst. However, based on the strict classification described by Urken et al., the majority of these cases should be reclassified as pneumocoeles.Conclusion:Whilst the nomenclature of this pathology is confusing, distinctions of terminology do not alter the management. Hence, we support the use of the term ‘air cyst’, to incorporate all these lesions.

Left Pansinusitis and Periorbital and Intracranial Abscesses Due to Actinomyces Species

1988 ◽  
Vol 2 (3) ◽  
pp. 117-120
Author(s):  
Donald R. Paugh ◽  
Charles F. Koopmann
Keyword(s):  
Case Report ◽  
Paranasal Sinus ◽  
Frontal Sinus ◽  
Coagulase Negative Staphylococcus ◽  
Intracranial Abscess ◽  
Paranasal Sinusitis ◽  
First Case ◽  
Actinomyces Species ◽  
Spread Of Infection ◽  
Staphylococcus Spp

Paranasal sinusitis may occasionally be complicated by intraorbital or intracranial spread of infection. In this presentation, the authors report the case of a 17-year-old male with left pansinusitis complicated by periorbital and intracranial abscess secondary to an infection associated with Actinomyces spp. and coagulase-negative Staphylococcus spp. This appears to be the first case report of Actinomyces involvement in the orbit or frontal sinus. The potential morbidity and/or mortality associated with locally invasive paranasal sinus abscess is reviewed. The combined medical and surgical management of this problem is presented.

Spontaneous pneumocephalus associated with pneumocele of the frontal sinus

Cephalalgia ◽  
2010 ◽  
Vol 30 (11) ◽  
pp. 1400-1402 ◽  
Author(s):  
Chong Yoon Park ◽  
Kyung Soo Kim
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Paranasal Sinus ◽  
Paranasal Sinuses ◽  
Frontal Sinus ◽  
Soft Tissues ◽  
Rare Condition ◽  
Severe Headache ◽  
First Case

Background: Pneumoceles of the paranasal sinuses are a very rare condition; characterized by a distended air-filled paranasal sinus extending beyond the margins of the paranasal bone, with bony defects and extension of air into the surrounding soft tissues. Also, spontaneous pneumo-cephalus is a rare condition which represented only 0.6% in the largest reported series of pneumocephalus. Although pneumocephalus caused by sinogenic origins, such as osteoma, has been reported, spontaneous pneumocephalus has not been reported as a complication associated with pneumocele of the frontal sinus. Methods: We report a case of spontaneous pneumocephalus associated with a pneumocele involving the frontal sinus which presented as acute severe headache. Results: To the best of our knowledge, this is the first case report in literature reporting spontaneous pneumocephalus in association with pneumocele of the frontal sinus. Conclusions: Although pneumocele of the frontal sinus is a very rare condition, it can develop into spontaneous pneumocephalus, and thus it needs to be included in the differential diagnosis of acute severe headache.

Mastoid infection caused by entomophthorales: a rare fungal disease

2011 ◽  
Vol 125 (6) ◽  
pp. 630-632 ◽  
Author(s):  
A A Arya ◽  
C Naik ◽  
S Desmukh ◽  
S V Babanagare ◽  
P Muntode
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Amphotericin B ◽  
Unusual Case ◽  
Histopathological Examination ◽  
Immunocompetent Patient ◽  
Fungal Disease ◽  
Surgical Debridement ◽  
Review Of The Literature ◽  
Good Outcome

AbstractObjective:To report an unusual case of fungal mastoiditis caused by entomophthorales in an immunocompetent patient, and its management.Method:Case report with a review of the literature.Case report:A 13-year-old girl presented to us with a mastoid abscess. Entomophthoromycotic infection of the mastoid was diagnosed on histopathological examination, and subsequently treated with surgical debridement and amphotericin B injection.Conclusion:This is the first reported case of mastoid abscess secondary to entomophthoromycosis. Early detection and treatment contributed to this patient's good outcome.

scholarly journals Prevalence and clinical profile of patients with chronic fungal maxillary sinusitis

2019 ◽  
Vol 5 (2) ◽  
pp. 280
Author(s):  
Vijay Gupta ◽  
Arindam Gupta
Keyword(s):  
Fungal Infection ◽  
Maxillary Sinus ◽  
Paranasal Sinus ◽  
Fungal Infections ◽  
Maxillary Sinusitis ◽  
Clinical Profile ◽  
Chronic Maxillary Sinusitis ◽  
High Index Of Suspicion ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Fungal paranasal sinus disease is considered to be rare but there has been a marked increase in the number and diversity of reported cases of fungal infections of maxillary sinus in recent years. Objectives were to study the incidence of fungal infection in case of chronic maxillary sinusitis, to identify specific type of fungus involved in maxillary sinus infection and to study clinical profile of the patients with fungal infections of maxillary sinus.</p><p class="abstract"><strong>Methods:</strong> A prospective study of was conducted involving the patients attending outpatient department of Otorhinolaryngology, who were clinically and radiologically proved cases of chronic maxillary sinusitis. Patients diagnosed with underlying paranasal sinus malignancies were excluded from the study. 70 patients of chronic maxillary sinusitis were included in the study. Isolates were identified based on colonial and microscopical morphology. Subcultures were done and slide cultures were prepared to identify the fungi.  </p><p class="abstract"><strong>Results:</strong> Fungus was cultured from 12.8% of patients suffering from chronic maxillary sinusitis. The most frequent victims of the disease were young persons in the second decade of life. All patients found positive for fungus had unilateral maxillary sinusitis. <em>Aspergillus niger, Aspergillus fumigatus, Candida albicans</em> and <em>Mucormycosis</em> were the various fungi isolated from cultures of antral washings.</p><p class="abstract"><strong>Conclusions:</strong> The results of the study emphasise the role of fungi as important pathogens of chronic maxillary sinusitis. There must be high index of suspicion of fungal infection when a young adult with a unilateral antral opacity on X-ray with frank pus in antral washings.</p><p> </p>

scholarly journals A nearly missed foreign body in frontal sinus: case report

2020 ◽  
Vol 6 (2) ◽  
pp. 425
Author(s):  
Nurul Alya Binti Azwan ◽  
Ram Kumar Sharma Shanmugam ◽  
Kong Yin Teng
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Maxillary Sinus ◽  
Paranasal Sinuses ◽  
Frontal Sinus ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Foreign Bodies ◽  
Road Traffic ◽  
Dental Procedures

<p class="abstract">Foreign body in paranasal sinus is rare. Very few cases have been reported of lodgement of foreign body in paranasal sinuses. Garces and Norris reported that 70% of these foreign bodies usually appeared after maxillofacial traumas and 30% appeared during or after dental procedures of maxilla. Foreign bodies are less common in the frontal sinus as compared to maxillary sinus. This is a case of foreign body in frontal sinus in an eighteen-year-old gentleman after a road traffic accident.</p>

Frontal sinus pneumocele caused by a maxillary sinus mucocele

2021 ◽  
Vol 14 (4) ◽  
pp. e242477
Author(s):  
Spyridon Potamianos ◽  
Eftychia Kanioura ◽  
Georgios Chrysovitsiotis ◽  
Evangelos Giotakis
Keyword(s):  
Maxillary Sinus ◽  
Paranasal Sinus ◽  
Frontal Sinus ◽  
Sinus Surgery ◽  
Valve Mechanism ◽  
Patient Reports ◽  
Full Resolution ◽  
Sinus Wall ◽  
The Face ◽  
The Right

A sinus pneumocele is a rare entity caused by obstruction of a paranasal sinus ostium. It is characterised by dilation and expansion of the sinus, with subsequent bony erosion. The most probable mechanism is air trapping in the paranasal sinus, via a one-way valve mechanism. The case presented concerns a 68-year-old Caucasian man, with recurrent episodes of acute rhinosinusitis. Clinical examination and subsequent imaging of the face, revealed a large pneumocele of the right frontal sinus that significantly eroded the posterior sinus wall. A large mucocele of the right maxillary sinus was also noted, extending to the middle meatus, causing full obstruction of the ostiomeatal complex. Endoscopic sinus surgery was performed, the mucocele was removed and the pneumatisation pathway of the frontal sinus was restored. The patient reports full resolution of symptoms and shows no evidence of recurrence, 6 months postoperatively.

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