A Review of the Role of the Endoscopic Sinus Surgery in the Management of Sinusitis Complicated by Extradural Vs. Subdural Brain Abscesses.
To review the literature comparing management of extradural and subdural complications of acute sinusitis and the role of the rhinologist in managing these complications. Adult and pediatric patients presenting with acute sinusitis complicated by
brain abscesses.
Role of Endosopic Sinus Surgery in managing patients with sinusitis complicated by brain abscesses. Papers from 1960-2015 discussing subdural and extradural complications of acute sinusitis and the role of sinus surgery.
The results suggest an aggressive approach to sinusitis complicated by subdural
collections with a select role for conservative management in treatment of extradural collections.
While serious intracranial complications of sinusitis are uncommon due to their decreased incidence in the antibiotic
era, approximately 0.5 to 24 percent of hospitalized individuals with rhinosinusitis will progress to develop intracranial complications.
About 3 to 17 percent of patients hospitalized with acute sinusitis will develop intracranial complications.
Neurological consequences such as epidural abscess, subdural abscess, intracerebral abscess, meningitis, and venous sinus thrombosis, can be life-threatening if left untreated.
While prior studies have illustrated the necessity of neurosurgical drainage of subdural abscesses, the role of Endoscopic Sinus Surgery in conjunction with the neurosurgical procedure has not been clearly defined.
Furthermore, it is unclear whether there is any difference in management for a subdural or extradural abscess with respect to sinus drainage. We aim to review the role of ESS in sinusitis complicated by intracranial complications looking at disease
free outcomes and patient complications.
Otolaryngol Open J. 2016; 2(1): 43-46. doi: 10.17140/OTLOJ-2-111