[Osteomyelitis of right frontal sinus anterior wall].

Abstract:

INTRODUCTION:The paper describes a very rare, isolated exocranial complication of the purulent frontal sinus inflammation. Frontal bone osteomyelitis occurs either in the course of an acute episode or during the exacerbation of a chronic disease. By distribution, it can be diffuse or circumscript. It is more common in younger males. CASE OUTLINE:The case described is one of a 43-year-old patient with purulent frontal sinusitis developing into osteomyelitis of the anterior wall of the right frontal sinus, accompanied by the exteriorisation of the process into the frontal region soft tissues. The classical paranasal sinus radiography did not find any pathological changes in bony structures. Computerised tomography findings pointed to purulent inflammation of the frontal and part of the ethmoid sinuses, with a defect of the anterior wall of the right frontal sinus. CONCLUSION:Surgical exploration established a defect in the anterior wall of the right frontal sinus, with an organised purulent collection, 1.3 cm in diameter. During surgery, evacuation of the inflamed mucosa and obliteration of the right frontal sinus were performed. Having analysed the anamnestic data, radiography and laboratory results, and intraoperative findings, we were not able to conclude decisively whether it was a complication of acute or chronic inflammation.

journal_name

Srp Arh Celok Lek

authors

Sente M,Kljajić-Milekić N

doi

10.2298/sarh0804154s

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

154-7

issue

3-4

eissn

0370-8179

issn

2406-0895

journal_volume

136

pub_type

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