Imaging of complicated frontal sinusitis

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 (...

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Bibliographic Details
Published in:The Pan African medical journal 2017, Vol.26 (209), p.209-209
Main Authors: Kolsi, Naourez, Zrig, Ahmed, Chouchène, Hamdi, Bouatay, Rachida, Harrathi, Khaled, Koubaa, Jamel
Format: Article
Language:English
Subjects:
Abscesses
Adolescent
Adult
Aged
Brain Abscess - diagnostic imaging
Brain Abscess - etiology
Case Series
Child
complications
computed tomography
Craniocerebral Trauma - complications
Craniocerebral Trauma - diagnostic imaging
Female
frontal sinusitis
Frontal Sinusitis - diagnostic imaging
Frontal Sinusitis - pathology
Headache - diagnostic imaging
Headache - etiology
Humans
magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Middle Aged
Osteomyelitis - diagnostic imaging
Osteomyelitis - etiology
Retrospective Studies
Tomography, X-Ray Computed - methods
Young Adult
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Summary: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.
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2017.26.209.11817