Medical therapy of acute and chronic frontal rhinosinusitis

Maccabee, Mendy; Hwang, Peter H.

doi:10.1016/s0030-6665(05)70293-0

Cited by 9 publications

(5 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In cases of osteomyelitis (Pott's puffy tumor), treatment is surgical debridement, followed by 4-8 weeks of intravenous antibiotics [2,18,42]. Kung [8] states that simple drainage may result in recurrent collection or complications from spreading infection.…”

Section: Discussionmentioning

confidence: 99%

The Pott’s puffy tumor: a dangerous sign for intracranial complications

Ketenci

Ünlü

Tucer

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

The Pott's puffy tumor is a subperiosteal abscess of the frontal bone associated with osteomyelitis. The purpose of this article is to alert the physician to the severe complications of this entity. The records of six patients were reviewed retrospectively. There were four adults and two adolescents. Nasal endoscopy showed edematous, polypoid mucosa in middle meatus in three and nasal polyps in the rest. At initial admission, two had orbital subperiosteal abscess, but normal cranial CT findings. During hospitalization, three experienced frontal lobe abscess and one frontal cerebritis. Endoscopic sinus surgery was performed in all with external drainage of Pott's puffy tumor in addition to antibiotherapy. Three patients underwent craniotomy/craniectomy for removal of frontal lobe abscesses. One patient with frontal lobe abscess died. Pott's puffy tumor may result in potentially dangerous intracranial complications. Early diagnosis and treatment are essential to reduce morbidity and mortality.

show abstract

Section: Discussionmentioning

confidence: 99%

The Pott’s puffy tumor: a dangerous sign for intracranial complications

Ketenci

Ünlü

Tucer

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…However, it has been shown that mitomycin C can affect the fibroblasts without sacrificing reepithelialization. 9 This chemical has been used successfully in the field of ophthalmology, pediatric and adult laryngology, and pediatric and adult rhinology to avoid scarring and granulation tissue on cut mucosal surfaces. There have been no systemic adverse effects reported with topical application of mitomycin C.…”

Section: Commentmentioning

confidence: 99%

Topical Mitomycin C in the Prevention of Keloid Scar Recurrence

Sanders

Gage‐White

Stucker

2005

Archives of Facial Plastic Surgery

View full text Add to dashboard Cite

To assess the ability of mitomycin C to prevent the recurrence of surgically excised keloid scars. Mitomycin C has been successfully used to prevent scar tissue formation at the site of subglottic stenosis in the field of pediatric otolaryngology. It appears that mitomycin C interferes with the ability of fibroblasts to produce a scar without causing changes in epithelialization. Design: We excised keloid scars from various sites in the head and neck and then applied mitomycin C to the resected bed prior to closure of the wound at a concentration of 0.4 mg/mL for 5 minutes. All patients had multiple keloids and acted as their own control. At 1 month after the procedure both wounds were started on a regimen of triamcinolone acetonide, 40 mg/mL injections, repeated every month for 6 months. At the end of the study, photos and measurements were again taken. Results: Fifteen patients (13 female and 2 male) ranging in age from 10 to 55 years enrolled in the study. No infections or nonhealing wounds were seen. There was no difference in postoperative pain. Eight patients completed the triamcinolone injections, 5 had fewer than 6 injections, and 2 patients had no steroid injections. Twelve patients completed follow-up and were evaluated for surgical complications and recurrence of the keloids at either site. Two patients had partial postoperative follow-up in person and then completed follow-up via telephone. One patient could not be found for follow-up. Four patients had recurrence of both excised lesions. Ten patients had no recurrence of their keloids at either site. Conclusion: Mitomycin C made no difference in the prevention of keloid recurrence after excision when topically applied.

show abstract

“…Sinusitis is a common medical problem in the United States, affecting 14%-16% of adults and accounting for approximately 11.6 million office-based outpatient visits annually (1,2). The current mainstay of treatment for sinusitis continues to be medical therapy, and the majority of patients diagnosed with sinusitis respond adequately to a combination of antibiotics, decongestants, mucolytics, and steroids (3). However, in a significant proportion of patients with sinusitis, medical management alone is insufficient to relieve symptoms, necessitating referrals to rhinologists for consideration of surgical management.…”

Section: Introductionmentioning

confidence: 99%

Failed Endoscopic Sinus Surgery: Spectrum of CT Findings in the Frontal Recess

Huang¹,

Lloyd²,

DelGaudio³

et al. 2009

RadioGraphics

View full text Add to dashboard Cite

Since its introduction over 2 decades ago, functional endoscopic sinus surgery (FESS) has revolutionized the surgical management of chronic sinusitis. Performed over 200,000 times annually in the United States to treat medically refractory sinusitis, FESS has success rates as high as 98%. When surgical failure occurs, it is typically due to postoperative scarring or unaddressed outflow tract obstruction in the region of the frontal recess. The most common causes of surgical failure in the frontal recess include remnant frontal recess cells, a retained uncinate process, middle turbinate lateralization, osteoneogenesis, scarring or inflammatory mucosal thickening, and recurrent polyposis. Computed tomography (CT) of the paranasal sinuses has become indispensable in evaluation of patients with FESS failure, particularly in the frontal recess, a location that can be difficult to visualize at endoscopy. Familiarity with the complex anatomy of the frontal recess and knowledge of the most common causes of surgical failure are essential for proper interpretation of sinus CT images obtained in patients being considered for revision FESS of the frontal sinus.

show abstract

Medical therapy of acute and chronic frontal rhinosinusitis

Cited by 9 publications

References 11 publications

The Pott’s puffy tumor: a dangerous sign for intracranial complications

The Pott’s puffy tumor: a dangerous sign for intracranial complications

Topical Mitomycin C in the Prevention of Keloid Scar Recurrence

Failed Endoscopic Sinus Surgery: Spectrum of CT Findings in the Frontal Recess

Contact Info

Product

Resources

About