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Otolaryngologic Clinics of North America Aug 2016Rhinosinusitis is a term that has long been used to describe a diverse disease entity that encompasses several related but distinct conditions involving the paranasal... (Review)
Review
Rhinosinusitis is a term that has long been used to describe a diverse disease entity that encompasses several related but distinct conditions involving the paranasal sinuses. Frontal sinusitis represents one such entity with its own unique treatment considerations. Like rhinosinusitis as a whole, the role of medical management in the treatment of frontal sinusitis cannot be overlooked. Contemporary medical management of frontal sinusitis requires recognition of the unique disease process with implementation of targeted therapies aimed at addressing the specific pathophysiology.
Topics: Adrenal Cortex Hormones; Anti-Bacterial Agents; Chronic Disease; Complementary Therapies; Disease Management; Frontal Sinusitis; Humans; Paranasal Sinuses; Rhinitis
PubMed: 27329981
DOI: 10.1016/j.otc.2016.03.016 -
Current Opinion in Pulmonary Medicine May 2003This review summarizes the recent literature published on the microbiology, diagnosis, and medical and surgical management of acute and chronic frontal sinus disease.... (Review)
Review
This review summarizes the recent literature published on the microbiology, diagnosis, and medical and surgical management of acute and chronic frontal sinus disease. Two retrospective studies investigated the microbiology of frontal sinusitis in patients that underwent sinus surgery. Streptococcus pneumoniae, Haemophilus influenzae, and Staphylococcus aureus predominated in acute infection in patients with acute frontal sinusitis, and S. aureus and anaerobic bacteria were commonly isolated in chronic sinusitis. Surgery is indicated to treat patients with acute and chronic sinusitis and their complications. Several surgical procedures were recently evaluated, and these are briefly reviewed.
Topics: Acute Disease; Anti-Bacterial Agents; Bacterial Infections; Chronic Disease; Combined Modality Therapy; Diagnostic Imaging; Female; Frontal Sinusitis; Humans; Incidence; Male; Otorhinolaryngologic Surgical Procedures; Prognosis; Risk Assessment; United States
PubMed: 12682560
DOI: 10.1097/00063198-200305000-00003 -
Auris, Nasus, Larynx Dec 2020Orbital decompression (OD) for Graves' orbitopathy usually includes removal of orbital medial wall. While OD occasionally cause or worsen chronic sinusitis because of...
Orbital decompression (OD) for Graves' orbitopathy usually includes removal of orbital medial wall. While OD occasionally cause or worsen chronic sinusitis because of the obstructed sinus drainage by prolapsed orbital fat, to date few reports have been published on the management or prevention of sinusitis associated with OD. Here, we present two patients (three sides) with newly developed and one patient (one side) with worsening obstructive frontal sinusitis following OD. These three patients had OD including the removal of the superior attachment of uncinated process to lamina papyracea. Endoscopic modified Lothrop procedure (EMLP) was useful to relieve symptoms and keep an enough access to frontal sinuses for all cases. We also performed EMLP for another two patients (four sides) with pre-existing sinusitis before OD. Worsening of sinusitis could be avoided by EMLP before OD. EMLP was useful approach for both treatment and prevention of sinusitis related to OD. The superior attachment site of uncinated process and the pattern of frontal sinus drainage might predict the occurrence of obstructive frontal sinusitis following OD.
Topics: Adult; Decompression, Surgical; Endoscopy; Female; Frontal Sinus; Frontal Sinusitis; Graves Ophthalmopathy; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Postoperative Complications
PubMed: 32088015
DOI: 10.1016/j.anl.2020.01.011 -
Journal of the American Veterinary... Sep 2019To characterize frontal sinusitis unrelated to standard dehorning procedures in adult beef bulls.
OBJECTIVE
To characterize frontal sinusitis unrelated to standard dehorning procedures in adult beef bulls.
ANIMALS
18 beef bulls > 2 years of age treated for frontal sinusitis at a veterinary medical teaching hospital between May 1999 and May 2014.
PROCEDURES
Medical records were reviewed. Information obtained for each bull included signalment, history, findings from physical examination and diagnostic procedures, treatment, and survival to discharge. Long-term follow-up (≥ 1 year) was obtained from owners by telephone.
RESULTS
18 bulls were included, and 17 were bucking bulls. Median age and duration of signs were 4.5 years and 23 days, respectively. The most common owner complaints were nonspecific signs (eg, separation from the herd, hypo- or anorexia, and weight loss; n = 10) and suspected horn or sinus infection (7). Only 8 bulls had nasal discharge, and only 7 of the 17 bulls for which the rectal temperature was recorded were febrile. Results of radiography indicated frontal sinusitis in 12 of 13 bulls, with increased opacity of the affected sinus (n = 11) noted most commonly. Seventeen bulls were discharged from the hospital alive. Long-term follow-up was obtained for 14 bulls, including 13 bucking bulls. All 14 bulls recovered fully, and 9 of the 13 bucking bulls performed well after treatment.
CONCLUSIONS AND CLINICAL RELEVANCE
Results suggested that frontal sinusitis should be considered as a differential diagnosis in beef cattle examined for nonspecific clinical signs and that, with appropriate treatment, the prognosis is good for long-term survival in affected beef cattle.
Topics: Animals; Cattle; Cattle Diseases; Frontal Sinusitis; Male; Records; Red Meat
PubMed: 31429647
DOI: 10.2460/javma.255.5.584 -
Revista Da Sociedade Brasileira de... 2023
Topics: Humans; Pott Puffy Tumor; Frontal Sinusitis; Abscess
PubMed: 36820673
DOI: 10.1590/0037-8682-0622-2022 -
The Pan African Medical Journal 2017Complications 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...
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.
Topics: Adolescent; Adult; Aged; Brain Abscess; Child; Craniocerebral Trauma; Female; Frontal Sinusitis; Headache; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Osteomyelitis; Retrospective Studies; Tomography, X-Ray Computed; Young Adult
PubMed: 28690724
DOI: 10.11604/pamj.2017.26.209.11817 -
The Annals of Otology, Rhinology, and... Aug 2021Frontal sinusitis in the pediatric population is a disease that has not been thoroughly studied or characterized. The goals of this study are to characterize the...
INTRODUCTION
Frontal sinusitis in the pediatric population is a disease that has not been thoroughly studied or characterized. The goals of this study are to characterize the clinical presentation, radiologic variables, treatment modalities, complications, and prognosis associated with acute and chronic frontal sinus disease in the pediatric population.
METHODS
IRB-approved retrospective cohort study of pediatric patients who were diagnosed with acute (AFS) or chronic frontal sinusitis (CFS) and underwent frontal sinus surgery at a tertiary level Children's Hospital from 2006 to 2016. Patients with AFS were compared to patients with CFS. Statistical analysis completed using chi-square test or Fisher's exact test, statistical significance set at < .05.
RESULTS
A total of 19 patients with AFS and 15 patients with CFS were analyzed. There was a male predominance in AFS and female predominance in CFS ( < .05).AFS patients were less likely to have allergies, prior sinus disease, or significant comorbidities ( < .05).Additionally, AFS patients presented with constitutional, neurologic, and ocular symptoms. The CFS group had predominantly sinonasal symptoms. CT-scan analysis showed that AFS patients had higher prevalence of complex frontal anatomy (Type-II cells, concha bullosa) compared with CFS patients ( < .05). Culture results were positive in 78% of the AFS group, with (53%), Anaerobes (20%), and normal flora (17%). In the CFS group cultures were positive in 60% of the patients, 56% grew normal flora, 13% , 6.5% , and 24.5% other species. CFS patients were more likely to have persistent sinus disease and require repeat sinus procedures ( < .05).
CONCLUSION
There are 2 distinct presentations of frontal sinus disease in the pediatric population. Patients with AFS vary significantly from those with CFS. Males, ages 13 to 18 years old, who cultured positive for (former ) dominated the AFS subgroup. Whereas as female patients with a history of allergic rhinitis and muco-cilliary disease were more prominent in the CRS subgroup. Correct identification and understanding of these 2 different entities are crucial for the appropriate short and long-term patient management.
Topics: Acute Disease; Adolescent; Age Factors; Child; Chronic Disease; Female; Frontal Sinusitis; Humans; Male; Prognosis; Radiography; Retrospective Studies; Sex Factors
PubMed: 33435715
DOI: 10.1177/0003489420987969 -
Journal of Nepal Health Research Council Jun 2022Frontal bone osteomyelitis is a rare clinical disease which occurs as a result of frontal sinusitis, penetrating injury on head, post-operative complication after sinus...
Frontal bone osteomyelitis is a rare clinical disease which occurs as a result of frontal sinusitis, penetrating injury on head, post-operative complication after sinus surgery and hematogenous spread from distant site. Early diagnosis, appropriate surgical debridement and antibiotic are keys to prevent from life threatening intracranial complications. We report a 63 years old male patient with osteomyelitis of outer cortex of frontal bone. The wound was thoroughly debrided after computer tomography scan showed an osteolytic lesion on outer table of fontal bone and antibiotic was continued for 2 months until inflammatory markers become normal. Keywords: Frontal bone; Intracranial complications; osteomyelitis; pott's puffy tumour.
Topics: Adult; Anti-Bacterial Agents; Frontal Bone; Frontal Sinusitis; Humans; Male; Middle Aged; Nepal; Osteomyelitis
PubMed: 35945886
DOI: 10.33314/jnhrc.v20i01.3854 -
International Journal of Pediatric... Oct 2007Acute bacterial sinusitis is common in the pediatric population. Intracranial spread of infection is a rare but life-threatening complication of acute sinusitis. Due to... (Review)
Review
INTRODUCTION
Acute bacterial sinusitis is common in the pediatric population. Intracranial spread of infection is a rare but life-threatening complication of acute sinusitis. Due to the infrequent presentation of this complication, there are no well-defined management protocols for the acute sinusitis.
CASE SERIES
We present three pediatric cases where children presented with intracranial sepsis, and the underlying source of infection was from the paranasal sinuses. In all cases, endoscopic sinus surgery was performed in the acute setting, with the use of frontal sinus mini-trephines playing a significant role.
DISCUSSION
We describe our experience and review the available literature.
Topics: Acute Disease; Central Nervous System Infections; Child; Child, Preschool; Female; Frontal Sinusitis; Humans; Male; Minimally Invasive Surgical Procedures; Tomography, X-Ray Computed; Trephining
PubMed: 17628703
DOI: 10.1016/j.ijporl.2007.06.011 -
Otolaryngologic Clinics of North America Apr 2004Contemporary surgical treatment of patients with frontal sinusitis is based on a graduated approach determined by the patient's history and the extent of disease... (Review)
Review
Contemporary surgical treatment of patients with frontal sinusitis is based on a graduated approach determined by the patient's history and the extent of disease present. Most patients with inflammatory disease of the frontal sinus respond well to an anterior ethmoidectomy and clearing of agger nasi cells encroaching upon the frontal recess. In more advanced cases, a frontal sinusotomy with enlargement of the ostium may be performed to facilitate frontal sinus drainage and ventilation. For patients in whom conventional endoscopic techniques have not been successful, the floor of the frontal sinus is removed with a drill, usually with the assistance of image-guidance technology. Frontal sinus obliteration is reserved for patients with advanced disease for whom endoscopic management has been unsuccessful. Although patients with refractory frontal sinusitis can present a therapeutic challenge, proper surgical management usually results in successful control of symptoms and overall improvement in quality of life.
Topics: Drainage; Endoscopy; Frontal Sinusitis; Humans; Tomography, X-Ray Computed; Video-Assisted Surgery
PubMed: 15064071
DOI: 10.1016/S0030-6665(03)00153-1