小儿急性鼻窦炎患者颅内脓肿的球囊鼻窦造口术
Balloon frontal sinuplasty for intracranial abscess in a pediatric acute sinusitis patient.
作者信息
Roland Lauren T, Wineland Andre M, Leonard David S
机构信息
Department of Otolaryngology - Head and Neck Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA.
Department of Otolaryngology - Head and Neck Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA.
出版信息
Int J Pediatr Otorhinolaryngol. 2015 Mar;79(3):432-4. doi: 10.1016/j.ijporl.2015.01.008. Epub 2015 Jan 17.
A case of balloon frontal sinuplasty in a 12-year old male with intracranial abscess from acute sinusitis is presented. The patient experienced photophobia, fever, headache, nausea and vomiting. Frontal sinusitis with intracranial abscess was diagnosed on imaging. The patient was taken to the operating room for drainage with left frontal balloon sinuplasty. The patient showed immediate clinical improvement, did not suffer from any complications of surgery and was further managed with long term intravenous antibiotics. We believe that balloon frontal sinuplasty is potentially safe and effective in the treatment of complicated acute frontal sinus obstruction in children.
本文介绍了一例12岁男性因急性鼻窦炎导致颅内脓肿而行球囊额窦造口术的病例。患者出现畏光、发热、头痛、恶心和呕吐症状。影像学检查诊断为额窦炎伴颅内脓肿。患者被送往手术室行左侧额窦球囊造口引流术。患者术后临床症状立即改善，未出现任何手术并发症，并继续接受长期静脉抗生素治疗。我们认为球囊额窦造口术在治疗儿童复杂性急性额窦阻塞方面可能是安全有效的。
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