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Odontogenic Pansinusitis Complicated by Orbital Cellulitis, Epidural Empyema and Intracerebral Abscess of Fronto-basal Region: Case Report
Anna Yu. Poghosyan1*, Ruben V. Fanarjyan2, Voskehat S. Nersisyan1, Grigori A. Harutyunyan3 and Arman N. Zakaryan PhD2
1Department of Maxillofacial and ENT Surgery, University Hospital, Yerevan, Armenia
2Department of Neurosurgery, University Hospital, Yerevan, Armenia
3Department of Diagnostic Radiology, University Hospital, Yerevan, Armenia
- Corresponding Author:
- Dr. Anna Yu. Poghosyan
13 Avag Petrosyan Str., 18 apt
Yerevan, Armenia
Tel: (+374 91) 474 169
E-mail: anna.yu.poghosyan@gmail.com
Received date: July 23, 2014; Accepted date: September 11, 2014; Published date: September 17, 2014
Citation: Poghosyan AY, Fanarjyan RV, Nersisyan VS, Harutyunyan GA, Zakaryan AN (2014) Odontogenic Pansinusitis Complicated by Orbital Cellulitis, Epidural Empyema and Intracerebral Abscess of Fronto-basal Region: Case Report. J Interdiscipl Med Dent Sci 2:149. doi: 10.4172/2376-032X.1000149
Copyright: © 2014 Poghosyan AY, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
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.
