Medical Management Versus Surgical Intervention of Pediatric Orbital Cellulitis: The Importance of Subperiosteal Abscess Volume as a New Criterion

2011 ◽  
Vol 27 (4) ◽  
pp. 255-259 ◽  
Author(s):  
Michele S. Todman ◽  
Yoash R. Enzer
Keyword(s):  
Medical Management ◽  
Surgical Intervention ◽  
Orbital Cellulitis ◽  
Subperiosteal Abscess ◽  
New Criterion

scholarly journals Diagnosis, treatment and postsurgical complications in a dog with epileptic seizures and a naso-ethmoidal meningoencephalocele

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Abtin Mojarradi ◽  
Sofie Van Meervenne ◽  
Alejandro Suarez-Bonnet ◽  
Steven De Decker
Keyword(s):  
Surgical Resection ◽  
Medical Management ◽  
Surgical Intervention ◽  
Clinical Signs ◽  
Epileptic Seizures ◽  
Nasal Discharge ◽  
Dural Defect ◽  
Drug Resistant ◽  
Tension Pneumocephalus ◽  
Postsurgical Complications

Abstract Background Naso-ethmoidal meningoencephalocele is usually a congenital anomaly consisting of a protrusion of cerebral tissue and meninges into the ethmoidal labyrinth. The condition is a rare cause of structural epilepsy in dogs. We report the clinical presentation, surgical intervention, postoperative complications and outcome in a dog with drug resistant epilepsy secondary to a meningoencephalocele. Case presentation A 3.3-year-old male neutered Tamaskan Dog was referred for assessment of epileptic seizures secondary to a previously diagnosed left-sided naso-ethmoidal meningoencephalocele. The dog was drug resistant to medical management with phenobarbital, potassium bromide and levetiracetam. Surgical intervention was performed by a transfrontal craniotomy with resection of the meningoencephalocele and closure of the dural defect. Twenty-four hours after surgery the dog demonstrated progressive cervical hyperaesthesia caused by tension pneumocephalus and pneumorrhachis. Replacement of the fascial graft resulted in immediate resolution of the dog’s neurological signs. Within 5 months after surgery the dog progressively developed sneezing and haemorrhagic nasal discharge, caused by sinonasal aspergillosis. Systemic medical management with oral itraconazole (7 mg/kg orally q12h) was well-tolerated and resulted in resolution of the clinical signs. The itraconazole was tapered with no relapsing upper airway signs. The dog’s frequency of epileptic seizures was not affected by surgical resection of the meningoencephalocele. No treatment adjustments of the anti-epileptic medication have been necessary during the follow-up period of 15 months. Conclusions Surgical resection of the meningoencephalocele did not affect the seizure frequency of the dog. Further research on prognostic factors associated with surgical treatment of meningoencephaloceles in dogs is necessary. Careful monitoring for postsurgical complications allows prompt initiation of appropriate treatment.

scholarly journals Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain

2020 ◽  
Author(s):  
Tulika Chatterjee ◽  
Johnathon Stephens ◽  
Moni Roy
Keyword(s):  
Abdominal Pain ◽  
Medical Management ◽  
Surgical Intervention ◽  
Case Reports ◽  
Healthcare Providers ◽  
Chronic Abdominal Pain ◽  
Segmental Arterial Mediolysis ◽  
The Past ◽  
Missed Diagnosis ◽  
Abdominal Arteries

Segmental arterial mediolysis (SAM) is a non-inflammatory, non-atherosclerotic vasculopathy mostly involving the abdominal arteries. SAM was recently recognized as a more prevalent aetiology of abdominal pain than initially thought by healthcare providers. It is still a commonly missed diagnosis in patients with recurrent emergency room (ER) visits for abdominal pain. Most published case reports in the past have highlighted catastrophic sequelae such as intra-abdominal haemorrhage requiring surgical intervention. We report a case of SAM where the diagnosis was initially missed. After diagnosis, conservative medical management was offered which led to clinical improvement.

Orbital Complications of Acute Sinusitis: Evaluation, Management, and Outcome

1978 ◽  
Vol 86 (2) ◽  
pp. ORL-221-ORL-230 ◽  
Author(s):  
Victor L. Schramm ◽  
Eugene N. Myers ◽  
John S. Kennerdell
Keyword(s):  
Antibiotic Therapy ◽  
Surgical Intervention ◽  
Clinical Course ◽  
Age Groups ◽  
Orbital Cellulitis ◽  
Acute Sinusitis ◽  
Study Population ◽  
Orbital Complications

Acute orbital cellulitis is most commonly caused by sinusitis. This complication is based on the anatomy of the sinuses, orbit, and their venous connections. A series of 134 patients is reviewed to demonstrate the etiology and clinical course of orbital cellulitis. Antibiotic therapy alone does not prevent permanent complications. Surgical intervention is found necessary in all age groups and is required in 20% of the study population.

Orbital Cellulitis And Subperiosteal Abscess Of Frontal Bone Complicating Unilateral Pansinusitis: A Case Report

2017 ◽  
Vol 2 (1) ◽  
pp. 49-54
Author(s):  
MA Akinola ◽  
AO Betiku ◽  
AP Adefalujo ◽  
AOA Yusuf ◽  
AO Sorungbe ◽  
...  
Keyword(s):  
Case Report ◽  
Frontal Bone ◽  
Orbital Cellulitis ◽  
Surgical Drainage ◽  
Rapid Improvement ◽  
Intravenous Antibiotic ◽  
Subperiosteal Abscess ◽  
Acute Rhinosinusitis ◽  
Life Threatening ◽  
Children And Young Adults

Objective: The aim of this report is to demonstrate that acute rhino-sinusitis may result in orbital cellulitis and even life threatening complications especially intracranial abscesses in children and young adults. Rare complications such as subperiosteal abscess seen in this patient may also occur Morbidity and mortality can be prevented through early diagnosis and treatment by relevant specialists. Method: We present a case report and literature review on unilateral pansinusitis complicated with orbital cellulitis and subperiosteal abscess of the frontal bone. Results: Following a diagnosis of orbital cellulitis and subperiosteal abscess of the frontal bone from a unilateral pansinusitis, an initial intravenous antibiotic was given for 72 hours, followed by a surgical drainage with subsequent rapid improvement. Conclusion: Acute rhinosinusitis may be complicated by orbital cellulitis and abscess formation. Prompt referral to a tertiary health facility as well as ooperation between the Ophthalmologists and Otorhinolaryngologists is very important to prevent life threatening complications. Key words: Orbital cellulitis, Pansinusitis, Subperiosteal abscess

scholarly journals Bilateral Vocal Process Papillomas: Report of a Case

2002 ◽  
Vol 81 (11) ◽  
pp. 790-791 ◽  
Author(s):  
Douglas M. Sidle ◽  
G. Kenneth Haines ◽  
Ken W. Altman
Keyword(s):  
Squamous Cell Carcinoma ◽  
Proton Pump Inhibitor ◽  
Oral Squamous Cell Carcinoma ◽  
Gastroesophageal Reflux ◽  
Proton Pump ◽  
Medical Management ◽  
Surgical Intervention ◽  
Voice Therapy ◽  
Vocal Process ◽  
Adequate Hydration

We describe a case of bilateral vocal process lesions in a 65-year-old man. His history was strongly suggestive of vocal process granulomas: previous gastroesophageal reflux, intubation, smoking, and oral squamous cell carcinoma. Medical management with a proton-pump inhibitor, reflux precautions, voice therapy, and adequate hydration yielded no results. Subsequent surgical intervention revealed that he had squamous papillomas. We also provide a brief review of vocal process granulomas and squamous papillomas.

scholarly journals Symptomatic intracranial arterial disease: incidence, natural history, diagnosis, and management

2011 ◽  
Vol 30 (6) ◽  
pp. E14 ◽  
Author(s):  
Ananth K. Vellimana ◽  
Andria L. Ford ◽  
Jin-Moo Lee ◽  
Colin P. Derdeyn ◽  
Gregory J. Zipfel
Keyword(s):  
Natural History ◽  
Medical Therapy ◽  
Endovascular Therapy ◽  
Medical Management ◽  
Surgical Intervention ◽  
Disease Incidence ◽  
Arterial Disease ◽  
High Rate ◽  
Diagnosis And Management ◽  
Ischemic Events

Symptomatic intracranial arterial disease is associated with a high rate of recurrent ischemic events. The management of this condition is controversial, with some advocating medical therapy as a sole means of treatment and others recommending endovascular therapy in addition to best medical management. In rare cases, surgical intervention is considered. A thorough review of the available literature was performed, and treatment recommendations based on these data are provided.

scholarly journals Oral Corticosteroid Regimens in the Management of Chronic Rhinosinusitis

2020 ◽  
pp. 014556131987690
Author(s):  
Ahmed Mansi ◽  
Roger Bui ◽  
Mohamad R. Chaaban
Keyword(s):  
Side Effects ◽  
Chronic Rhinosinusitis ◽  
Medical Management ◽  
Oral Corticosteroid ◽  
Surgical Intervention ◽  
Controlled Trials ◽  
Level Of Evidence ◽  
Randomized Controlled ◽  
Before And After ◽  
Oral Corticosteroids

Background: Oral corticosteroids are often used in the medical management of chronic rhinosinusitis (CRS) with and without polyps. The purpose of our study is to review the literature for studies reporting the dosage of oral corticosteroids as part of the appropriate medical management prior to, immediately before, and after surgical intervention. Methods: We reviewed the literature for oral corticosteroid regimens given to patients with CRS from March 2012 to September 2018. Studies that did not disclose the exact doses of the regimen were excluded from our analysis. Results: Our search resulted in 7 articles with 4 studies of Level of Evidence (LOE) 1b, 2 studies with LOE III, and 1 study with LOE IV. The daily doses varied from 15 mg to 1 mg/kg, and with total doses ranging from 150 to 352 mg. In addition, several studies gave the same regimen to both subtypes of CRS. There was no mention of side effects in most of the studies. Conclusion: There is a wide variation in the steroid doses given to patients with CRS and prospective or randomized controlled trials are needed to provide better improved evidence.

scholarly journals Orbital cellulitis complicated by subperiosteal abscess due to Streptococcus pyogenes infection

2017 ◽  
Vol 74 (2) ◽  
pp. 134-140
Author(s):  
José Daniel Ruiz Carrillo ◽  
Edwin Vázquez Guerrero ◽  
Mónica Cecilia Mercado Uribe
Keyword(s):  
Streptococcus Pyogenes ◽  
Orbital Cellulitis ◽  
Subperiosteal Abscess
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