Open AccessIntracranial Abscess from Acute Sinusitis without Craniotomy
Author(s) -
Crozier Emily E.,
Brenski Amy C.,
McClay John E.
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811416318a265
Subject(s) - medicine , craniotomy , sinusitis , brain abscess , surgery , abscess , sinus (botany) , epidural abscess , biology , genus , botany
Objective To evaluate the success of treatment of intracranial abscess occurring from acute sinus disease without utilizing craniotomy. Method Retrospective chart review based at a tertiarty care children’s medical center. Children were evaluated from 1995 to 2010 with intracranial abscess formation from acute sinusitis. The main outcome measures were treatment modalities for acute intracranial and sinus disease. Results Twenty‐five children were evaluated from 1995 to 2010 with acute sinusitis resulting in brain abscesses. Over the first 10 years, 15 were treated successfully with an intracranial procedure and sinus surgery. Over the past 5 years, 10 cases of intracranial abscess were encountered, with 5 out of 10 treated successfully without the need for craniotomy. 4 out of 5 had small epidural abscesses treated with endoscopic sinus surgery and intravenous antibiotic, and 1 out of 5 had a small epidural and subdural abscess treated with medical therapy alone. Conclusion Medical management of intracranial abscess along with medical or surgical treatment of acute sinusitis may be a viable option for certain children with small epidural abscesses caused by acute sinusitis.