Delayed Meningitis Complicated by the Frontal Sinus Opening to the Dura Mater in a Patient with Intracranial Injury Fifteen Years Ago

Shin, Jae-Sik; Oh, Sung-Han; Chung, Bongsub; Rhim, Jongkook; Lee, Chung-jae; Choi, Jongwon

doi:10.13004/kjnt.2013.9.2.142

Cited by 2 publications

(3 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 2 12 18 48) Sinus fractures are usually a result of high-velocity fracture. 34 40) The acute complications of FSF are cerebrospinal fluid (CSF) leak, 2) meningitis, 41) cerebritis, 10 14) mucocele and muco-pyocele. 29) FSF are common shared area of interest between neurosurgeons, plastic surgeons, otolaryngologists and maxillofacial surgeons.…”

Section: Introductionmentioning

confidence: 99%

Traumatic Frontal Sinus Fractures Management: Experience from High-Trauma Centre

Al-Shami¹,

Alnemare

Mahfoz

et al. 2021

Korean J Neurotrauma

View full text Add to dashboard Cite

Objective Analysis of our traumatic brain injury data, reviewing current literatures and assessing planning valuable decision making in frontal sinus fracture for young neurosurgeons. Methods Hospital data base for head trauma was retrieved after board permission for retrospective analysis of cases admitted from 2010–2020. Patients with frontal sinus fractures and head trauma were identified according to a flow chart. Variables of the study included patients' demographics, mechanism of injury, incidence of cerebrospinal fluid (CSF) leakage, types of associated injuries, imaging findings and operative techniques. Results Three-hundred eighty two patients were eligible to be screened in our study and represented the sample size under investigations in the following sections, 206 (53.9%) of patients were treated conservatively while 176 patients (46.1%) were identified as having an indication for surgical intervention. Eighty-four percent of patients were males. The mean age was 36.2±9.4 years (14–86 years). Depressed skull fracture was commonly associated injury (17.61%). Leakage of CSF was found in 32.95% of patients. Conclusion Frontal sinus fracture is not an easy scenario. It harbors many proportions and deliver many varieties in which, deep understanding of anatomy, naso-frontal outflow tract status, CSF leakage and neurological injury are of important points in decision. Our institutional algorithm provide rapid, accessible and applicable treatment protocol for resident and young neurosurgeons which minimizes consultations of other specialties.

show abstract

Section: Introductionmentioning

confidence: 99%

Traumatic Frontal Sinus Fractures Management: Experience from High-Trauma Centre

Al-Shami¹,

Alnemare

Mahfoz

et al. 2021

Korean J Neurotrauma

View full text Add to dashboard Cite

show abstract

“…Treatment strategies that do not adequately address frontal sinus fractures can lead to serious infections and long-term structural complications; therefore, accurate examination and active treatment are mandatory [ 10 , 11 ]. Meningitis or cerebritis, cerebrospinal fluid (CSF) rhinorrhea, and pneumocephalus are complications that occur during the acute period, whereas chronic frontal sinusitis, mucocele and mucopyocele, meningitis, brain abscess, and protrusion or depression of the forehead are delayed complications [ 12 , 13 ]. Accordingly, frontal sinus injuries are a common concern for neurosurgeons, oral and maxillofacial surgeons, and otolaryngologists [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…. Meningitis or cerebritis, cerebrospinal fluid (CSF) rhinorrhea, and pneumocephalus are complications that occur during the acute period, whereas chronic frontal sinusitis, mucocele and mucopyocele, meningitis, brain abscess, and protrusion or depression of the forehead are delayed complications [12,13]. Accordingly, frontal sinus injuries are a common concern for neurosurgeons, oral and maxillofacial surgeons, and otolaryngologists [12].…”

mentioning

confidence: 99%

Management of frontal sinus trauma: a retrospective study of surgical interventions and complications

Kim,

Kim

et al. 2024

Maxillofac Plast Reconstr Surg

View full text Add to dashboard Cite

Background Frontal sinus injuries are relatively rare among facial bone traumas. Without proper treatment, they can lead to fatal intracranial complications, including meningitis or brain abscesses, as well as aesthetic and functional sequelae. The management of frontal sinus injuries remains controversial, with various treatment methods and outcomes being reported. This article describes the clinical characteristics, surgical methods, and outcomes among 17 patients who underwent surgery for frontal sinus injury and related complications. Case presentation We retrospectively included 17 patients who underwent surgery for frontal sinus injury and its related complications at the Kangwon National University Hospital between July 2010 and September 2021. Among them, six underwent simple open reduction and fixation of the anterior wall, eight underwent sinus obliteration, and three underwent cranialization. Two patients who underwent sinus obliteration died due to infection-related complications. The patient who underwent cranialization reported experiencing chronic headache and expressed dissatisfaction regarding the esthetic outcomes of the forehead. Except for these three patients, the other patients achieved satisfactory esthetic and functional recovery. Conclusion Active surgical management of frontal sinus injuries is often required owing to the various complications caused by these injuries; however, several factors, including the fracture type, clinical presentation, related craniomaxillofacial injury, and medical history, should be considered while formulating the treatment plan. Surgical treatment through the opening of the frontal sinus should be actively considered in patients with severely damaged posterior wall fractures and those at risk of developing infection.

show abstract

Delayed Meningitis Complicated by the Frontal Sinus Opening to the Dura Mater in a Patient with Intracranial Injury Fifteen Years Ago

Cited by 2 publications

References 17 publications

Traumatic Frontal Sinus Fractures Management: Experience from High-Trauma Centre

Traumatic Frontal Sinus Fractures Management: Experience from High-Trauma Centre

Management of frontal sinus trauma: a retrospective study of surgical interventions and complications

Contact Info

Product

Resources

About