Balloon frontal sinuplasty for intracranial abscess in a pediatric acute sinusitis patient

Roland, Lauren T.; Wineland, Andre; Léonard, David

doi:10.1016/j.ijporl.2015.01.008

Cited by 12 publications

(14 citation statements)

References 11 publications

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“…With reports mainly limited to treatment of chronic rhinosinusitis, the use of balloon sinuplasty is another treatment for complicated frontal sinus obstruction. Roland et al describe a case where balloon frontal sinuplasty successfully treated an intracranial abscess of sinogenic origin in a 12-year-old patient (29). In a recent multicenter study, office-based multisinus balloon dilation was described as “safe, effective, and well tolerated” in the treatment of adults diagnosed with chronic or recurrent acute rhinosinusitis (30).…”

Section: Discussionmentioning

confidence: 99%

Intracranial Suppurative Complications of Sinusitis

et al. 2016

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Background: Intracranial complications of paranasal sinusitis have become rare due to widespread and early use of antibiotics. potentially life-threatening intracranial complications of sinusitis include subdural empyema, epidural and intracerebral abscess, meningitis, and sinus thrombosis. patients with intracranial complication of sinusitis can present without neurological signs, which may delay diagnosis and correct treatment.Aims: our aim was to evaluate the diagnostics, treatment, and outcome of sinusitisrelated intracranial infections at our tertiary referral hospital with a catchment area of 1.9 million people. Materials and Methods:We retrospectively collected data on all patients diagnosed and treated with an intracranial infection at the Helsinki university Hospital, Helsinki, finland, during a 10-year period between 2003 and 2013.Results: Six patients were diagnosed to have a sinusitis-related intracranial infection. four patients had an epidural abscess, one both an epidural abscess and a subdural empyema and one a subdural empyema. the most common presenting complaint was headache (100%) followed by fever (83%), vomiting (50%), nasal congestion (50%), forehead lump (34%), and neck stiffness (17%). all patients were managed surgically. most (83%) patients recovered to premorbid state without neurological sequelae. one patient died intraoperatively.

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Section: Discussionmentioning

confidence: 99%

Intracranial Suppurative Complications of Sinusitis

et al. 2016

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“…Accessing the frontal sinus in an acutely infected field is of significantly greater difficulty than in the setting of chronic inflammation. To date, seven patients have been reported in the adult population with successful management of acute frontal sinusitis with balloon sinus dilation . One case report has previously been published reporting the use of balloon sinus dilation in pediatric acute frontal sinusitis complicated by intracranial abscess …”

Section: Discussionmentioning

confidence: 99%

Early experience with feasibility of balloon sinus dilation in complicated pediatric acute frontal rhinosinusitis

Maurrasse

Hwa

Waldman³

et al. 2020

Laryngoscope Investig Oto

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Background/Objective: Complicated acute rhinosinusitis in the pediatric population is an uncommon problem that may affect the orbit or brain and is life-threatening.This condition requires surgical intervention with endoscopic sinus surgery for source control, and prior studies have demonstrated the safety of balloon sinuplasty in chronic frontal sinusitis.Methods/Results: We present our approach with a balloon sinus dilation hybrid procedure to resolve four distinct types of complicated acute frontal sinusitis in pediatric patients, including intracranial manifestations, intraorbital complications, and recurrent disease. All four patients were able to be managed operatively with frontal balloon sinuplasty. Conclusions:Prior efficacy has been demonstrated for chronic frontal sinusitis in the pediatric population. We demonstrate that frontal balloon sinuplasty is also feasible in the proper clinical setting for acute frontal sinusitis, even in the presence of regional complications or recurrent disease. Level of Evidenceballoon dilation, balloon sinuplasty, endoscopic sinus surgery, frontal sinusitis, pediatric ARS

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“…Treating complicated pediatric frontal ARS with balloon sinuplasty has been previously described in one case report of a patient with an intracranial abscess and in a case series of four patients with the following complications: forehead swelling, frontal dural enhancement, intraorbital manifestation, and recurrent chronic sinusitis [ 13 , 14 ]. Multiple studies have established that balloon sinuplasty is safe and useful when examining short and long-term outcomes in pediatric chronic rhinosinusitis (CRS), though a consensus has not been reached for the indication of balloon dilation among children with CRS [ 15 – 23 ].…”

Section: Introductionmentioning

confidence: 99%

Frontal Balloon Sinuplasty in Complicated Acute Pediatric Rhinosinusitis (ARS)

Chidambaram

Wahle

Léonard

2022

Case Reports in Otolaryngology

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Utilization of frontal balloon sinuplasty in pediatric complicated acute rhinosinusitis (ARS) is demonstrated to be a safe and expedient alternative to other procedures such as trephination or functional endoscopic sinus surgery (FESS) in this case series. We performed a retrospective review of six pediatric cases of frontal balloon sinuplasty for ARS with intracranial complications at a tertiary academic center. Patients underwent unilateral (n = 5) or bilateral dilation (n = 1) in addition to functional endoscopic sinus surgery (FESS) including anterior ethmoidectomy (n = 5) and maxillary antrostomy (n = 6). This technique effectively addressed frontal sinus obstruction and served as an alternative to procedures such as trephination or functional endoscopic sinus surgery. No immediate or short-term complications of balloon dilation were observed in these cases. A larger cohort and extended follow-up are necessary to determine the use and long-term impact of this technique.

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Balloon frontal sinuplasty for intracranial abscess in a pediatric acute sinusitis patient

Cited by 12 publications

References 11 publications

Intracranial Suppurative Complications of Sinusitis

Intracranial Suppurative Complications of Sinusitis

Early experience with feasibility of balloon sinus dilation in complicated pediatric acute frontal rhinosinusitis

Frontal Balloon Sinuplasty in Complicated Acute Pediatric Rhinosinusitis (ARS)

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