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额窦炎的严重并发症:病例系列及文献综述

The serious complications of frontal sinusitis, a case series and literature review.

作者信息

Al Yaeesh Ibrahim, AlOmairin Ahmed, Al Shakhs Abdullah, Almomen Ali, Almomen Zahra, AlBahr Abdulelah, AlNaim Abdulrahman, Al Abdulgader Abdulrahman, Alawadh Abdullah

机构信息

King Faisal University, Al-Ahsa, Saudi Arabia.

King Fahad Specialist Hospital, Dammam, Saudi Arabia.

出版信息

J Surg Case Rep. 2020 Dec 31;2020(12):rjaa474. doi: 10.1093/jscr/rjaa474. eCollection 2020 Dec.

Abstract

The aim of this study is to illustrate the managements of different clinical and radiological presentations of serious complications of frontal sinusitis diagnosed and managed at the tertiary referral hospital. A case series study conducted at the tertiary referral in the period from 2012 to 2019. Four different cases of serious complications of frontal sinusitis namely orbital abscess, frontal meningitis, subdural empyema and frontal lobe abscess will be presented and discussed. Despite the generous use of antibiotics, the serious complications of frontal sinusitis still develop. The serious complications of frontal sinusitis ranges from orbital abscess to frank frontal lobe abscess. The management is a combination of systemic antibiotics and surgical drainage with excellent outcomes.

摘要

本研究的目的是阐述在三级转诊医院诊断和处理的额窦炎严重并发症的不同临床和影像学表现的处理方法。2012年至2019年期间在三级转诊医院进行了一项病例系列研究。将展示并讨论额窦炎严重并发症的4种不同病例,即眶脓肿、额部脑膜炎、硬膜下积脓和额叶脓肿。尽管大量使用了抗生素,额窦炎的严重并发症仍会发生。额窦炎的严重并发症范围从眶脓肿到明显的额叶脓肿。处理方法是全身使用抗生素并结合手术引流,效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5640/7778520/7dcd9b7364b5/rjaa474f1.jpg

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