Craniofacial resection for extensive paranasal sinus aspergilloma

Quiney, R. E.; Rogers, Melinda; Davidson, RN; Cheesman, A. D.

doi:10.1017/s0022215100107637

Cited by 12 publications

(12 citation statements)

References 11 publications

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“…5,15 In all the ve patients in our series who had disease resolution, the cerebral tissues were uninvolved and nearradical extirpation of the fungal mass had been accomplished. For apical disease therefore, with its signi cant potential for intracranial spread, orbital exenteration needs to be considered early, regardless of the status of vision.…”

Section: Discussionmentioning

confidence: 88%

Invasive sino-orbital aspergillosis: surgical decisions and dilemmas

2003

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Invasive aspergillosis, one of the common paranasal sinus fungal infections, often secondarily involves the orbit. We report six such cases with orbital extension, all occurring in apparently immunocompetent hosts, to specifically address the difficult diagnostic and therapeutic issues involved. Limited biopsy procedures were often inconclusive, necessitating wide surgical excision to establish the histopathological diagnosis. Conservative orbital debridement proved adequate for cases with disease limited to the infero-medial compartment of the orbit, but resulted in residual progressive disease in the two of the four cases with retro-orbital and apical extension. Orbital exenteration in this latter group, however, proved successful in controlling disease. The present report emphasizes the importance of near-complete extirpation and adjuvant chemotherapy in ensuring a favourable outcome in invasive Aspergillus infections. Orbital exenteration appears justified for posterior orbital disease, regardless of the functional status of the eye, but is inappropriate for anterior orbital disease.

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Section: Discussionmentioning

confidence: 88%

Invasive sino-orbital aspergillosis: surgical decisions and dilemmas

2003

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“…Nonetheless, invasive sino-orbital aspergillosis may occur in immunocompetent patients (3, 17, 18, 29, 30, 32, 35, 43). The standard treatment for invasive sino-orbital disease has been radical surgical intervention, including orbital exenteration, sinus excision, and aggressive intracranial debridement (9, 13, 22, 31). However, more recently, good outcomes have been reported with a combination of limited surgical debridement and antifungal drug therapy, especially in immunocompetent patients (1, 21, 27).…”

Section: Introductionmentioning

confidence: 99%

Acute Chiasmal Abscess Resulting from Perineural Extension of Invasive Sino-Orbital Aspergillosis in an Immunocompetent Patient

et al. 2014

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OBJECTIVE Intracranially invasive sino-orbital aspergillosis is a rare entity seen predominantly in immunocompromised individuals. We report a unique case of an acute chiasmal abscess resulting from perineural extension of an indolent invasive sino-orbital aspergillosis in an immunocompetent patient. CASE DESCRIPTION A 61-year-old healthy Ukrainian man presented with severe left retro-orbital pain and a gradual ipsilateral monocular vision loss with rapid progression to a contralateral temporal visual field cut. He was found to have an intracranially invasive sino-orbital Aspergillus fumigatus infection with perineural extension along the optic nerve complicated by an acute chiasmal abscess. RESULTS The patient was managed with surgical debridement and adjuvant antifungal chemotherapy. The patient’s life and vision were preserved. CONCLUSIONS The case demonstrates that it is possible to successfully control advanced intracranial aspergillosis with tissue-sparing surgery and adjuvant antifungal chemotherapy in immunocompetent individuals.

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“…24,25 The electric current stimulates a variety of receptors with low threshold in the skin, joint and muscles (e.g., touch, temperature), causing massive transmission of nerve impulses via afferent large diameter (A-a-b) fibers, which blocks the input of pain impulses via smaller diameter fibers (A-d and C) by an interneuron at the synapse. Treacy (1999) claims that subjects exposed to TENS receive a slight rhythmic, electrical impulse through the nerves that control the muscles of facial expression and chewing.…”

Section: The Journal Of Craniofacial Surgery / Volume 17 Number 3 Mamentioning

confidence: 99%

“…hepatic chronic diseases, 23 excessive use of amphetamine, 24 and HIV infection. 25 In this article, the authors report an explicative case of Aspergillosis of the ethmoid-spheno-maxillo district associated with mucormycosis in patients with DM type I.…”

Section: The Journal Of Craniofacial Surgery / Volume 17 Number 3 Mamentioning

confidence: 99%

“…There are also described cases of mandibular 32 and hepatic 33 abscesses, periorbital cellulites, 34 and palatecysts. 35 Eikenella corrodens infection requires predisposing factors such as immunosuppression and lung or oral diseases, head and neck neoplasm, DM, or alcoholism; it can also be associated with abuse of amphetamines or inhalation of foreign bodies, 24,36 trauma, and pulling of teeth. Moreover, Eikenella is not the only pathogen that can be involved and can be associated with Streptococcus and Staphylococcus ssp.…”

Section: Brief Clinical Notes / Pellacchia Et Almentioning

confidence: 99%

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Rotating Distraction Osteogenesis in a Child with Secondary Craniosyntostosis

Chung¹,

Yoon²

2006

Journal of Craniofacial Surgery

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The purpose of the treatment of mandibular fractures is to restore proper dental occlusion and stable temporomandibular joint movement, as well as the reduction of the displaced fracture. Consideration must be given to the selection of the most appropriate surgical and rehabilitation methods in such patients. Typical surgical methods for the treatment of mandibular fractures include the arch bar method or plating at the location of the fracture combined with fixing the mandible to the maxilla using the arch bar method. However arch bars and circumdental wires, which require teeth for fixation, damage teeth and periodontal tissue, and tend to be uncomfortable for patients during the fixation period. Moreover, daily maintenance of oral hygiene is difficult for patients with an arch bar. Surgeons are also exposed to the risk of blood-transmitted diseases through skin punctures by wires when affixing these devices. For these reasons, we chose to study the potential of the MMFS method, which is thought to lessen all of the following problems: tissue damage, operating time, patient discomfort, and possible exposure to percutaneous infectious disease due to puncture of gloves and skin by the wires. We demonstrated the utility of the MMFS method in the present study.T he restoration of proper dental occlusion is important in the treatment of a mandibular fracture. The arch bar method is generally used to treat such fractures at present. However, both teeth and periodontal tissue are damaged by penetration of and ligation with the more than 10 wires required by this procedure. The operating team is also placed at considerable risk due to the potential for the ends of the wires to puncture gloves and/or fingers. We analyzed the potential for use of a treatment in which screws are inserted into the maxilla and mandible, and are then ligated with wires to fix both the maxilla and mandible in place and avoid the aforementi1d problems. Fifteen patients with mandibular fractures were treated with maxillomandibular fixation screws (the MMFS method) at the Izunagaoka Hospital of Juntendo University from April, 2000 to December, 2001. Proper dental occlusion was achieved in all patients treated using the MMFS method, and normal temporomandibular joint function was restored after rehabilitation. However, paresthesia occurred around the symphysis menti of the mandible in 33.3% of the patients. The MMFS method proved to be a reliable surgical method for the treatment of mandibular fractures. It not only restores proper dental occlusion and natural temporomandibular joint function, but it also offers the advantages of increased ease of oral and dental hygienic maintenance as well as decreased dental damage, operating time and risk of puncturing gloves and skin. PATIENTS AND METHODSA retrospective chart review was conducted on 15 patients with mandibular fractures treated by the MMFS method at the Izunagaoka Hospital of Juntendo University from April, 2000 to December, 2001. The mean age of the 15 patients was 23.3 years. T...

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Craniofacial resection for extensive paranasal sinus aspergilloma

Cited by 12 publications

References 11 publications

Invasive sino-orbital aspergillosis: surgical decisions and dilemmas

Invasive sino-orbital aspergillosis: surgical decisions and dilemmas

Acute Chiasmal Abscess Resulting from Perineural Extension of Invasive Sino-Orbital Aspergillosis in an Immunocompetent Patient

Rotating Distraction Osteogenesis in a Child with Secondary Craniosyntostosis

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