When is a multidisciplinary approach required in management of intracranial complications of sinonasal inflammatory disorders?

Abstract

When is a multidisciplinary approach required in management of intracranial complications of sinonasal inflammatory disorders?Quando è richiesto un approccio multidisciplinare nella gestione delle complicanze intracraniche delle patologie infiammatorie nasosinusali?

“Open-window” craniectomy for the removal of frontal sinus mucosa to prevent a delayed mucocele: illustrative case

“…These patients present with local swelling, pain, and cosmetic deformity in the initial stages, which can later progress to complications with major morbidity, including frontal bone osteomyelitis, eyelid abscess, cellulitis, chronic sinusitis, mucopyocele, and subperiosteal abscess, which can even progress to vision abnormalities, vision loss, meningitis, or cerebral abscess. 1,[3][4][5][6][7] For established frontal sinus mucoceles, management strategies include obliteration of the frontal sinus, cranialization, and endoscopic marsupialization. [8][9][10] However, no consensus exists regarding the superiority of one approach over the other, and this is compounded by the lack of direct comparative outcomes data.…”