BACKGROUND/OBJECTIVES: Nowadays, intracranial abscess is a rare complication of acute rhinosinusitis. The consequent orbital and intracranial complications of acute rhinosinusitis are rare but must be mutually excluded in complicated rhinosinusitis even when proper surgical and medical treatment tend to efficiently heal the orbital complication. METHODS: We report a case of a patient who primarily revealed symptoms of orbitocellulitis as a complication of odontogenous rhinosinusitis. Proper diagnostic and therapeutical measures were undertaken to manage the disease immediately after stationary admission. RESULTS: Two weeks after an inconspicuous healing period, hemiparesis due to formation of an intracranial abscess developed. An emergent situation reveals which was unusual to the clinical situation. CONCLUSION: The possible role of underlying mechanisms of intracranial abscess formation is discussed and review of literature concerning orbital and intracranial rhinosinusitis complications is performed. The correct indication of imaging methods and accurate evaluation of diminutive symptoms are essential. We assume that performance of a complementary CT of the brain or MRI even when previous CT scan of the orbit/paranasal sinuses reveals no cerebral pathology should be done to avoid or minimize future patients with consecutive orbital and intracranial complications of acute rhinosinusitis.
- MeSH
- absces mozku diagnóza etiologie MeSH
- akutní nemoc MeSH
- antibakteriální látky aplikace a dávkování škodlivé účinky MeSH
- dospělí MeSH
- endoskopie MeSH
- fokální infekce zubní komplikace diagnóza patologie patofyziologie terapie MeSH
- kombinovaná farmakoterapie MeSH
- lidé MeSH
- magnetická rezonanční tomografie MeSH
- orbitocelulitida diagnóza etiologie patologie patofyziologie terapie MeSH
- otorinolaryngologické chirurgické výkony metody MeSH
- počítačová rentgenová tomografie MeSH
- pooperační komplikace MeSH
- rinitida diagnóza etiologie patologie patofyziologie terapie MeSH
- sinus maxillaris patologie chirurgie MeSH
- sinusitida diagnóza etiologie patologie patofyziologie terapie MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- práce podpořená grantem MeSH
OBJECTIVE: This study examined a cohort of pediatric patients treated for suspected corrosive injury of the oesophagus in the ENT department between 1994 and 2003. METHODS: During the study period we examined 337 patients. All patients were treated according to an individual diagnostico-therapeutic protocol that included: foremost, early rigid oesophagoscopy; intensive medical therapy; nasogastric tube placement; and/or surgical intervention. RESULTS: Our proposed system of grading on a scale from 0 to 4 was used to classify the findings upon oesophagoscopy. One hundred eighty eight patients (55.7%) had a negative exam; 1st degree corrosive injury was present in 58 patients (17.4%); 2nd and 3rd degree injury in 81 patients (24%); and 4th degree was found in 10 patients (3%). CONCLUSIONS: Because the endoscopic findings were positive in 44% of patients with suspected corrosive injury, early rigid oesophagoscopy is indicated in all patients suspected of having corrosive injury even in the absence of clinical symptoms.
- MeSH
- antibakteriální látky terapeutické užití MeSH
- chemické popálení etiologie klasifikace terapie MeSH
- ezofágoskopie MeSH
- ezofágus zranění MeSH
- gastrointestinální intubace MeSH
- glukokortikoidy terapeutické užití MeSH
- hospitalizace MeSH
- inhibitory enzymů terapeutické užití MeSH
- inhibitory protonové pumpy MeSH
- katetrizace MeSH
- kaustika toxicita MeSH
- kohortové studie MeSH
- kojenec MeSH
- lidé MeSH
- péče o pacienty v kritickém stavu MeSH
- předškolní dítě MeSH
- protonové pumpy MeSH
- retrospektivní studie MeSH
- skóre závažnosti úrazu MeSH
- stenóza jícnu chemicky indukované chirurgie MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- předškolní dítě MeSH
Over the past few years, the ENT clinic in Motol has noticed an alarming increase in the number of cases of severe upper GIT injury in children, in the majority of cases caused by accidental ingestion of corrosives. Suicidal and homicidal cases in the paediatric population are rare. The following case study describes an interesting episode involving ingestion of granules of the lye NaOH in 13 children of school age. We furthermore stress the importance of early endoscopic investigation in every patient with possible corrosive injury of the oesophagus. We include a brief description of the diagnostico-therapeutic algorithm applied to each such patient that was developed through interdepartmental research in Motol Faculty Hospital.
Over the past few years, the ENT clinic in Motol has noticed an alarming increase in the number of cases of severe upper GIT injury in children, in the majority of cases caused by accidental ingestion of corrosives. Suicidal and homicidal cases in the paediatric population are rare. The following case study describes an interesting episode involving ingestion of granules of the lye NaOH in 13 children of school age. We furthermore stress the importance of early endoscopic investigation in every patient with possible corrosive injury of the oesophagus. We include a brief description of the diagnostico-therapeutic algorithm applied to each such patient that was developed through interdepartmental research in Motol Faculty Hospital.
- MeSH
- chemické popálení diagnóza etiologie MeSH
- dítě MeSH
- ezofagitida chemicky indukované MeSH
- ezofágoskopie metody MeSH
- ezofágus zranění MeSH
- hydroxid sodný škodlivé účinky MeSH
- kaustika škodlivé účinky MeSH
- lidé MeSH
- následné studie MeSH
- ústa zranění MeSH
- výsledek terapie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- duplikátní publikace MeSH
