Bilateral subdural empyemas with meningitis secondary to acute barosinusitis

Sung, Ji Eun; Kwon, Ohseong; Kim, D.; Kim, K.

doi:10.1016/j.anorl.2018.03.006

Cited by 6 publications

(7 citation statements)

References 6 publications

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“…Squeeze occurs during descent, which causes an increase in atmospheric pressure. Typically, the sinus ostia should be open to the nasal 30 1 13 1 1 Misirovs and Mohamad 14 1 27 1 1 Sung et al 18 1 30 1 1 Boston et al 25 9 34 8 1 9 Lachkar et al (2016) 31 1 26 1 Nagatani (2013) 32 1 26 1 1 Sanborn et al (2013) 33 1 81 1 1 Jeong et al 23 1 39 1 20 1 1 Mahabir et al 20 1 68 1 1 Segev et al 24 1 43 1 1 Parell and Becker (2000) 40 2 37.5 2 O'Reilly et al (1996) 42 39 n/a n/a n/a 39 Singletary and Reilly 16 1 25 1 1 Rodenberg 13 1 Skevas et al (2012) 28 Andrews et al (2010) 34 1…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis and Management of Barosinusitis: A Systematic Review

Chen

Pathak²,

Hong

et al. 2022

Ann Otol Rhinol Laryngol

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Objective: To perform a systematic review to investigate the common presenting symptoms of barosinusitis, the incidence of those findings, the methods for diagnosis, as well as the medical and surgical treatment options. Methods: A review of PubMed/MEDLINE, EMBASE, and Cochrane Library for articles published between 1967 and 2020 was conducted with the following search term: aerosinusitis OR “sinus squeeze” OR barosinusitis OR (barotrauma AND sinusitis) OR (barotrauma AND rhinosinusitis). Twenty-seven articles encompassing 232 patients met inclusion criteria and were queried for demographics, etiology, presentation, and medical and surgical treatments. Results: Mean age of patients was 33.3 years, where 21.7% were females and 78.3% were males. Causes of barotrauma include diving (57.3%), airplane descent (26.7%), and general anesthesia (0.4%). The most common presentations were frontal pain (44.0%), epistaxis (25.4%), and maxillary pain (10.3%). Most patients received topical steroids (44.0%), oral steroids (28.4%), decongestants (20.7%), and antibiotics (15.5%). For surgical treatment, most patients received functional endoscopic sinus surgery (FESS) (49.6%). Adjunctive surgeries include middle meatal or maxillary antrostomy (20.7%), septoplasty (15.5%), and turbinate surgery (9.1%). The most efficacious medical treatments are as follows: 63.6% success rate with oral steroids (66 treated), 50.0% success rate with topical steroids (102 treated), and 50.0% success rate analgesics (10 treated). For surgical treatments received by greater than 10% of the sample, the most efficacious was FESS (91.5% success rate, 108 treated). Conclusion: Oral and topical steroids should be first line therapies. If refractory, then functional endoscopic sinus surgery is an effective treatment.

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Section: Discussionmentioning

confidence: 99%

“…Bourolias and Gkotsis (2011) 36 Özturk and Bozkurt (2020) 27 Patel et al (2021) 30 Misirovs and Mohamad 14 Sung et al 18 Boston et al 25 Lachkar et al (2016) 31 1 1 Nagatani (2013) 32 1…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Management of Barosinusitis: A Systematic Review

Chen

Pathak²,

Hong

et al. 2022

Ann Otol Rhinol Laryngol

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“…Complications of acute bacterial rhinosinusitis are divided in two categories: intraorbital and intracranial complications. The peak incidence of these complications is seen in children in the first decade of life 6,8,7,15 and adolescent males 13,14,[7][8][9][10][11][12][13][14][15][16] respectively, as illustrated in this case series. Children may present with orbital complications without initial rhinological complaints.…”

Section: Discussionmentioning

confidence: 99%

“…The frontal bone is provided by a network of valveless diploic veins, which may cause hematogenous spread of the infection. Direct spread of bacteria due to a defect in the cranial base is a less frequent mechanism of extension 13 . These complications are mostly seen in adolescent males as a result of an increased growth rate of the frontal bone in this population, and are associated with substantial mortality (up to 10-20%) 14 .…”

Section: Introductionmentioning

confidence: 99%

How to approach complications of acute rhinosinusitis in children?

Uyttebroek

Poelmans

Casteels

et al. 2020

International Journal of Pediatric Otorhinolaryngology

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Intraorbital and intracranial complications of acute rhinosinusitis (ARS) are uncommon, but potentially life threatening. Signs of progression of ARS should be recognized early to allow timely surgical treatment in order to avoid irreversible lesions such as vision loss and neurological deficits. In this case series, we provide an overview of 6 representative cases who presented at our tertiary center (2017)(2018). The aim of this case series is (1) to draw new attention to the clinical manifestations and management of these complications, since even in highly-developed medical settings we still observe permanent sequellae due to delayed or inadequate treatment, (2) to give an updated analysis of the guidelines, stressing the low threshold for endoscopic sinus surgery, even in children, (3) to underline the benefits of a multidisciplinary approach in these young patients.

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“…In the literature, we found only four reported cases of acute bacterial meningitis that were likely to have resulted from air travel barotrauma. These were: a patient with spontaneous pneumocephalus and meningitis with a post-traumatic bone defect in the sphenoid sinus, 6 a patient with bilateral subdural empyema and meningitis, 7 and two patients with meningitis following air flight soon after vestibular schwannoma surgery. 8…”

Section: Discussionmentioning

confidence: 99%

Air flight barotrauma and meningitis: causality seems real

Džupová

Beneš

2020

J. Laryngol. Otol.

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BackgroundBarotrauma to the middle-ear cavity and paranasal sinuses is a relatively common flight-related health problem. Occasionally, it may result in severe mechanical or infectious intracranial complications; these have been rarely reported to date.ObjectiveFour cases of acute bacterial meningitis following air travel are presented, and its pathogenesis is briefly described.ConclusionNeurological symptoms occurring after air flight should prompt proper investigation. Otitis media and sinusitis are common primary focuses of bacterial meningitis. Severe complications of air flight barotrauma may be underreported.

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Bilateral subdural empyemas with meningitis secondary to acute barosinusitis

Cited by 6 publications

References 6 publications

Diagnosis and Management of Barosinusitis: A Systematic Review

Diagnosis and Management of Barosinusitis: A Systematic Review

How to approach complications of acute rhinosinusitis in children?

Air flight barotrauma and meningitis: causality seems real

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