Kolsi Naourez, Zrig Ahmed, Chouchène Hamdi, Bouatay Rachida, Harrathi Khaled, Koubaa Jamel
Department of Otorhinolaryngology, Head and Neck Surgery at "Fattouma Bourguiba" Hospital, Monastir, Tunisia.
Department of Radiology at "Fattouma Bourguiba" Hospital, Monastir, Tunisia.
Pan Afr Med J. 2017 Apr 19;26:209. doi: 10.11604/pamj.2017.26.209.11817. eCollection 2017.
Complications occur in 3% of the cases of frontal sinusitis. These are mainly oculo-orbital, intracranial and osteomyelitis. Our aim is to describe the contribution of different imaging modalities in the diagnosis of these complications and their post-treatment monitoring. within a 15 years period (2000-2014), 10 patients with complicated frontal sinusitis were included into this retrospective study. 10 patients (9 males) aged 9 to 70 year old (mean 28). Two of these patients (20%) had a history of craniofacial trauma. Frontal headache was present in all cases (100%), frontal swelling in 8 cases (80%) and unilateral palpebral edema in 3 cases (30%). A CT scan of the face and brain was performed in all cases and revealed frontal osteomyelitis in 6 cases (60%), extradural empyema in 3 cases (33%), intracranial frontal abscess in 2 cases (20%) and occulo-orbital complications in 3 cases (30%). Magnetic resonance imaging was performed in one patient and demonstrated thrombosis of the upper longitudinal sinus. 40% of our patients associated 2 complications. Cross-sectional imaging is important in early and accurate diagnosis of complicated frontal sinusitis.
3%的额窦炎病例会出现并发症。这些并发症主要是眼眶、颅内和骨髓炎。我们的目的是描述不同成像方式在这些并发症诊断及其治疗后监测中的作用。在15年期间（2000 - 2014年），10例复杂性额窦炎患者被纳入这项回顾性研究。10例患者（9例男性）年龄在9至70岁之间（平均28岁）。其中2例患者（20%）有颅面外伤史。所有病例均有额部头痛（100%），8例（80%）有额部肿胀，3例（30%）有单侧睑水肿。所有病例均进行了面部和脑部CT扫描，6例（60%）显示额部骨髓炎，3例（33%）显示硬膜外积脓，2例（20%）显示颅内额部脓肿，3例（30%）显示眼眶并发症。1例患者进行了磁共振成像，显示上矢状窦血栓形成。我们40%的患者合并2种并发症。横断面成像对复杂性额窦炎的早期准确诊断很重要。
