A rare case of rhinosinusitis: Three different complications in a patient
A rare case of rhinosinusitis: Three different complications in a patient
The aim of this study is to describe the management of three different complications associated with rhinosinusitis which developedsimultaneously in the same patient. A 27-year-old man visited the emergency department with complaints of headache and swellingof the left eye. He had sustained a blunt head injury 1 month earlier. He was diagnosed with preseptal cellulitis, subdural abscess,and Pott’s puffy tumor which was shown to be a result of rhinosinusitis after physical examination and imaging. After surgical andmedical treatment, he was followed up without further complications. Complications of acute rhinosinusitis are very uncommon inthe antibiotic era. Patients may suffer life-threatening outcomes if complications develop. A prompt multidisciplinary approach mustbe immediately established by otorhinolaryngologists, ophthalmologists and other specialists of relevance in order to diagnose andtreat life-threatening complications.
___
- 1. Fokkens W, Lund V, Bachert C, et al. EAACI position paper on rhinosinusitis and nasal polyps executive summary. Allergy 2005;60:583-601.
- 2. Fokkens WJ, Lund VJ, Mullol J, et al. European position paper on rhinosinusitis and nasal polyps 2012. Rhinol Suppl 2012; 23: 3 p preceding table of contents, 1-298.
- 3. Goldberg AN, Oroszlan G, Anderson TD. Complications of frontal sinusitis and their management. Otolaryngol Clin North Am 2001;34:211-25.
- 4. Tara FC. Complications of sinusitis. Am J Rhinol Allergy 2016;30:241-5.
- 5. Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope 1970;80:1414-28.
- 6. Giannoni CM, Stewart MG, Alford EL. Intracranial complications of sinusitis. Laryngoscope 1997;107: 863-7.
- 7. Kombogiorgas D, Seth R, Athwal R, et al. Suppurative intracranial complications of sinusitis in adolescence. Single institute experience and review of literature. Br J Neurosurg 2007;21:603-9.
- 8. Palabiyik FB, Yazici Z, Cetin B, et al. Pott puffy tumor in children: A rare emergency clinical entity. J Craniofac Surg 2016;27:313-6.
- 9. Nathoo N, Nadvi SS, van Dellen JR, et al. Intracranial subdural empyemas in the era of computed tomography: A review of 699 cases. Neurosurgery 1999; 44:529-35; discussion 535-6.
- 10. Kombogiorgas D, Solanki GA. The Pott puffy tumor revisited: Neurosurgical implications of this unforgotten entity. Case report and review of the literature. J Neurosurg 2006;105:143-9.