Endoscopic Drainage of Subperiosteal Abscess in Children: A Pilot Study

1996 ◽  
Vol 10 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Ramzi T. Younis ◽  
Rande H. Lazar
Keyword(s):  
Nasal Spray ◽  
Endoscopic Surgery ◽  
Traditional Approach ◽  
Maxillary Sinusitis ◽  
Signs And Symptoms ◽  
Sinus Surgery ◽  
High Dose ◽  
Endoscopic Drainage ◽  
Subperiosteal Abscess ◽  
External Incision

Subperiosteal abscess is a serious orbital complication of sinusitis that occurs predominantly in children. Infection may spread to the orbital site through a preexisting defect in the lamina papyracea or by means of a thrombophlebitic process. Although the traditional approach to treating a subperiosteal abscess has been drainage through an external incision, we treated this serious complication with functional endonasal sinus surgery. Ten pediatric patients with clinical and CT evidence of orbital subperiosteal abscess underwent endoscopic surgery at LeBonheur Children's Hospital in Memphis, Tenn., between July 1990 and June 1992. The four girls and six boys were between 3 and 12 years of age at the time of surgery. Despite 2 to 4 days of intravenous antibiotic therapy, their signs and symptoms progressed, and axial and coronal CT scans demonstrated orbital subperiosteal abscess. Seven patients had bilateral ethmoid and maxillary sinusitis, and the remaining three patients had unilateral ethmoiditis. Ophthalmologic assessments were performed for all patients immediately after hospital admission. The patients were started on regimens of high-dose intravenous cefuroxime sodium to subdue infections and pediatric decongestant nasal spray to facilitate drainage. All 10 patients with the confirmed diagnosis of subperiosteal abscess were treated with endoscopic surgery to drain the site of infection. All 10 patients improved significantly 12 to 24 hours after surgery and were discharged from the hospital to their homes 48 to 72 hours after surgery. Patients were continued on a regimen of broad-spectrum oral antibiotics and beclomethasone nasal spray for 2 weeks beyond the final examination. Follow-up endoscopic examinations were performed under general anesthesia in the operating room 2 to 3 weeks after surgery. No complications or adverse sequelae occurred. Our study appears to confirm that endoscopic drainage of subperiosteal abscess offers the patient an alternative to incisional surgery. The endoscopic approach prevents an external scar without increasing morbidity or length of hospitalization.

scholarly journals Odontogenic Sinusitis-Associated Pott’s Puffy Tumor: A Case Report and Literature Review

2020 ◽  
pp. 014556132095220
Author(s):  
Hyun Jin Min ◽  
Kyung Soo Kim
Keyword(s):  
Maxillary Sinusitis ◽  
Previous History ◽  
Sinus Surgery ◽  
Subperiosteal Abscess ◽  
Pott’S Puffy Tumor ◽  
Facial Swelling ◽  
Computed Tomography Scans ◽  
History Of ◽  
Odontogenic Sinusitis ◽  
Clinical Conditions

Pott’s puffy tumor (PPT) is a nonneoplastic complication of acute frontal sinusitis characterized by subperiosteal abscess (SPOA) formation and osteomyelitis. Although various clinical conditions are associated with frontal SPOA, cases associated with odontogenic sinusitis are rare. We report a recurrent case of frontal SPOA who had a previous history of craniotomy due to head trauma. The patient was presented with headache, facial swelling and diagnosed as frontal, ethmoid, and maxillary sinusitis with frontal SPOA, which is PPT. The patient was surgically managed by endoscopic sinus surgery and external drainage of the abscess. Although the symptoms had been relieved soon after the surgery, they were recurred after 1 week. By paranasal sinus computed tomography scans, it was suspected that severe carious teeth, which were missed before surgery, induced maxillary sinusitis which spread into the frontal sinus and subperiosteal areas inducing recurrence of disease. Our experience suggests that frontal SPOA may originate from odontogenic maxillary sinusitis caused by severe dental caries, which should be actively managed, especially in patients with the risk of spread of inflammation, such as those who have discontinuity in frontal bone.

Frontal mucocele caused by an ectopic maxillary tooth

2007 ◽  
Vol 122 (12) ◽  
pp. 1384-1385 ◽  
Author(s):  
M A Buchanan ◽  
S E Prince ◽  
P R Prinsley
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Endoscopic Sinus Surgery ◽  
Conventional Treatment ◽  
Maxillary Sinusitis ◽  
Signs And Symptoms ◽  
Sinus Surgery ◽  
Documented Case ◽  
Maxillary Tooth ◽  
Ectopic Tooth

AbstractObjective:To present a previously unreported cause of frontal mucocele.Case report:A patient presented with a frontal mucocele and maxillary sinusitis. Computed tomography revealed an ectopic maxillary tooth as the cause of her signs and symptoms. Removal of the tooth by a Caldwell–Luc procedure facilitated resolution of the mucocele. Conventional treatment of mucoceles by endoscopic sinus surgery, and other rhinological sequelae of ectopic teeth, are considered.Conclusion:This is the first documented case of an ectopic tooth causing a frontal mucocele, and demonstrates how effectively the patient's symptoms resolved on removal of the tooth.

scholarly journals Transnasal Endoscopic Surgery in Retro-orbital Abscess

2012 ◽  
Vol 5 (1) ◽  
pp. 14-16
Author(s):  
NK Mohindroo ◽  
DR Sharma ◽  
JS Thakur ◽  
Ripudaman Arora
Keyword(s):  
Endoscopic Surgery ◽  
Case Series ◽  
Endoscopic Approach ◽  
Endoscopic Drainage ◽  
Retrospective Case ◽  
Subperiosteal Abscess ◽  
Orbital Abscess ◽  
Transnasal Endoscopic Approach ◽  
Open The Doors ◽  
Transnasal Endoscopic Surgery

ABSTRACT Introduction Transnasal endoscopic approach is well established in the management of subperiosteal abscess but retro-orbital abscess is commonly treated by external surgical approach. There are only two articles published on endoscopic drainage of retro-orbital abscess. We present our experience in the management of retro-orbital abscesses by transnasal endoscopic surgery. Methods Retrospective case charts review. Three cases with retro-orbital abscess were drained with endoscopic approach in last 5 years. Conclusion Role of transnasal endoscopic surgery in superior-lateral located intraorbital abscesses could not be evaluated but presented case series will further open the doors for transnasal endoscopic surgery. How to cite this article Thakur JS, Mohindroo NK, Sharma DR, Arora R. Transnasal Endoscopic Surgery in Retro-orbital Abscess. Clin Rhinol Int J 2012;5(1):14-16.

scholarly journals Long-Term Effectiveness of Balloon Catheter Sinuplasty in Pediatric Chronic Maxillary Sinusitis

2019 ◽  
Vol 98 (4) ◽  
pp. 207-211 ◽  
Author(s):  
Habib G. Zalzal ◽  
Chadi A. Makary ◽  
Hassan H. Ramadan
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Surgery ◽  
Endoscopic Sinus Surgery ◽  
Pediatric Patients ◽  
Maxillary Sinusitis ◽  
Balloon Catheter ◽  
Sinus Surgery ◽  
Inclusion Criteria ◽  
Chronic Maxillary Sinusitis

The objective of our study was to assess the long-term effectiveness of balloon catheter sinuplasty in the treatment of pediatric chronic maxillary sinusitis following failed first-line medical and surgical management with adenoidectomy. Pediatric patients younger than 12 years were reviewed for having failed previous adenoidectomy and undergone a balloon catheter sinuplasty between August 2006 and March 2011 for chronic rhinosinusitis. Demographic data and clinical characteristics were recorded in patients who met inclusion criteria. Outcomes were assessed by need for functional endoscopic sinus surgery and persistence of chronic infection within at least 5 years of follow-up. Failure was defined by any child who was rediagnosed with chronic sinus disease after balloon catheter sinuplasty or who required endoscopic sinus surgery within 5 years. Sixty-two children were reviewed, with 38 patients meeting inclusion criteria (prior adenoidectomy, a preoperative Lund-Mackay score of ≥5, and balloon catheter sinuplasty). The mean age (standard deviation) was 6.76 (2.27) years with an age range of 2 to 11 years. Eight children (21.1%, P < .01) continued to have chronic sinus complaints following balloon procedure, with 5 (13.1%) individuals requiring eventual endoscopic surgery within 5 years. Age, asthma, allergy, and gender did not have any statistically significant impact on outcome. Balloon catheter sinuplasty is an effective long-term alternative for the treatment of chronic rhinosinusitis in pediatric patients, hoping to avoid further infections and eventual endoscopic surgery.

Endoscopic sinus surgery for the anterior maxillary sinus, using a 135° reflective CO2 laser

2007 ◽  
Vol 122 (9) ◽  
pp. 918-920 ◽  
Author(s):  
K Sato
Keyword(s):  
Maxillary Sinus ◽  
Endoscopic Surgery ◽  
Endoscopic Sinus Surgery ◽  
Maxillary Antrum ◽  
Anterior Wall ◽  
Surgical Instruments ◽  
Sinus Surgery ◽  
Reliable Procedure ◽  
Wall Lesion ◽  
Wall Lesions

AbstractObjectives:Endoscopic sinus surgery has been widely performed to treat nose and paranasal diseases. However, it is difficult to manipulate anterior wall lesions of the maxillary sinus using conventional surgical instruments. This paper presents a method of performing endoscopic surgery for anterior wall lesions of the maxillary sinus, using a 135° reflective CO2 laser.Method:A CO2 laser with a 135° reflective tip on the pipe-guide handpiece and a CO2 laser angulated to the same degree were used. The pipe-guide handpiece with reflective tip was inserted into the nasal cavity and the base of the maxillary sinus anterior wall lesion was vaporised and removed via an enlarged natural ostium. During the procedure, the maxillary antrum was visualised with a 70° endoscope. Ten cases of maxillary sinus anterior wall lesion underwent this surgical procedure.Results:In all cases, the base of the maxillary sinus anterior wall lesion was removed completely and recurrence avoided.Conclusion:This method is a reliable procedure enabling endoscopic sinus surgery for anterior wall lesions of the maxillary sinus.

Acute proptosis secondary to bilateral pansinus mucopyocele with orbital compartment syndrome: a rare presentation, its management and outcome

2021 ◽  
Vol 14 (7) ◽  
pp. e241972
Author(s):  
Khushboo Chauhan ◽  
Tanya Sharma ◽  
Bhavana Sharma ◽  
Samendra Karkhur
Keyword(s):  
Compartment Syndrome ◽  
Nasal Polyposis ◽  
Signs And Symptoms ◽  
Sinus Surgery ◽  
Rare Presentation ◽  
Diagnostic Dilemma ◽  
Guided Exploration ◽  
Rapid Relief ◽  
Maxillary Sinuses

A 37-year-old Indian female presented with forward protrusion of left eye for one week, associated with progressive diminution of vision. The patient had undergone sinus surgery for nasal polyposis a year ago. On examination, there was severe proptosis and limitation of extraocular movements in all gazes. CT-scan revealed a heterogeneous expansile mass, arising from left fronto-ethmoidal sinus, infiltrating left orbit. MRI showed T2-hyperintense, peripherally enhancing areas in bilateral nasal cavity (right >left), bilateral ethmoidal sinuses and frontal, sphenoidal and maxillary sinuses. Otorhinolaryngology consultation was sought and in view of vision threatening proptosis — with likely orbital compartment syndrome — emergent endoscopic guided exploration and orbital decompression was undertaken. Rapid relief of signs and symptoms was achieved, with normal vision, extraocular movements and resolution of proptosis. Cytology and microbiology ruled out infectious or malignant aetiology and helped in resolving a diagnostic dilemma. Histopathology confirmed the diagnosis of mucopyocele and follow-up period was uneventful.

Late signs and symptoms of maxillary sinusitis after sinus augmentation

2010 ◽  
Vol 110 (1) ◽  
pp. e1-e4 ◽  
Author(s):  
Yifat Manor ◽  
Ofer Mardinger ◽  
Ilan Bietlitum ◽  
Aysar Nashef ◽  
Joseph Nissan ◽  
...  
Keyword(s):  
Maxillary Sinusitis ◽  
Signs And Symptoms ◽  
Sinus Augmentation

APPROACH TO UNCINECTOMY BY SWING DOOR TECHNIQUE VS STANDARD TECHNIQUE – A COMPARATIVE STUDY

2021 ◽  
pp. 37-39
Author(s):  
Praveen Singh ◽  
Tarun Ojha ◽  
Shreya Prasad
Keyword(s):  
Complication Rate ◽  
Endoscopic Sinus Surgery ◽  
Maxillary Sinusitis ◽  
Tertiary Care ◽  
Standard Technique ◽  
Symptomatic Improvement ◽  
Sinus Surgery ◽  
Minor Complication ◽  
Tertiary Care Centre ◽  
Group B

Introduction: Uncinectomy is the most important step in endoscopic sinus surgery which can be performed by various methods. The present study aimed to compare the results and complications of performing uncinectomy and middle meatus antrostomy using the standard and swing door techniques during FESS. Methods: In this study, 50 patients of both gender (aged 18–50 years) suffering from chronic maxillary sinusitis underwent functional endoscopic sinus surgery (FESS) from January 2019 to December 2019 at a tertiary care centre. The patients were divided on random basis into two groups of 25. Group Apatients underwent uncinectomy using standard technique while Group B underwent uncinectomy using swing door technique. Results:The mean VAS scores for Group Aand Group B were 78.50 ± 16.63 and 80.58 ± 14.34, respectively, suggesting that Group B patients have better symptomatic improvement. No major complications were observed in both groups. At the end of Week 2, minor complications were observed in 8 (26.7%) of the patients from Group Aand 2 (6.7%) from Group B. By the sixth week, the minor complication rate was 1 (3.3%) and 0 in Group A and Group B, respectively. When compared statistically during the second week using chi-square test, the difference in minor complication rate was found to be statistically signicant (p < 0.05, 2 = 4.81), with lower incidence of complications in Group B. Conclusion: Uncinectomy performed by swing door technique produces better postoperative results, with lesser complications, when compared to the standard technique.

scholarly journals Orbital Emphysema after a Protracted Episode of Sneezing in a Patient with no History of Trauma or Sinus Surgery

2010 ◽  
Vol 89 (11) ◽  
pp. E12-E13 ◽  
Author(s):  
Qasim A. Khader ◽  
Khader J. Abdul-Baqi
Keyword(s):  
Signs And Symptoms ◽  
Sinus Surgery ◽  
Blowout Fracture ◽  
Orbital Emphysema ◽  
The Face ◽  
History Of ◽  
Limiting Condition ◽  
The Right ◽  
Systemic Antibiotics ◽  
Periorbital Swelling

Orbital emphysema is a benign self-limiting condition. It can occur directly (as a result of trauma to the face) or indirectly (secondary to a blowout fracture). We report a case of orbital emphysema in a 38-year-old man who presented with ecchymosis of the right eye, pressure within the right orbit, and periorbital swelling following a protracted episode of vigorous sneezing. The diagnosis was confirmed by computed tomography. Systemic antibiotics were given, and the patient was cautioned to avoid blowing his nose. His signs and symptoms resolved within 1 week.

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