Odontogenic Pansinusitis Complicated by Orbital Cellulitis, Epidural Empyema and Intracerebral Abscess of Fronto-basal Region: Case Report

Abstract

Sinusitis is a relatively common problem, which still can be complicated by intracranial and orbital involment. Intracranial abscesses are uncommon, serious, neurological condition associated with significant morbidity and mortality. A case report of sinusitis, complicated by orbital cellulitis, epidural empyema and intracerebral abscess is presented. The patient was successfully treated by emergency surgical intervention including Coldwell-Luke sinusotomy with perforation of the roof of maxillary sinus, ethmoidotomy, left sided lateral supraorbital craniotomy with perforation of the orbital roof, accompained by parenteral antibiotic administration and tight postoperative observations by CT monitoring.

Orbital abscess complicating pansinusitis. A case report

“…Le principal risque encouru par le patient est la propagation de l'infection orbitaire aux structures intracrâniennes essentiellement au sinus caverneux via les veines ophtalmiques supérieures engendrant une thrombose à son niveau voire même aux méninges ou au cerveau causant un empyème ou un abcès cérébral, sans omettre le risque de choc septique qui compromettrait sérieusement le pronostic vital [5].…”

Pansinusitis aguda odontogénica en adolescente: Reporte de caso

“…Es así como existe evidencia que entre 10% y 12% de las infecciones del seno maxilar son infecciones odontógenas (2,3) . La pansinusitis es un cuadro infrecuente cuando la evaluación maxilofacial se centra en la etiología odontogénica (1) , en Chile no existen estudios de prevalencia para este cuadro agudo con origen dental; sin embargo, el diagnóstico precoz, se asocia a menor morbilidad y mortalidad (4) .…”

The spread of odontogenic infection to involve the cerebral tissues (subdural empyema): A case report

“…[4] To date, there is limited evidence in the literature which has investigated odontogenic infection as the source for subdural empyema and brain abscess. [5,6] This report highlights the case of a young female in the United Kingdom.…”