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Otolaryngologic management of patients with subdural empyema
Author(s) -
Hoyt David J.,
Fisher Samuel R.
Publication year - 1991
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199101000-00004
Subject(s) - medicine , drainage , incidence (geometry) , empyema , surgery , sinusitis , subdural empyema , sinus (botany) , otitis , frontal sinus , maxillary sinus , genus , ecology , physics , botany , optics , biology
From 1979 to 1988,17 patients presented to Duke University Medical Center for treatment of subdural empyema. Empyemas were caused by sinusitis in 53% of the patients and by otitis media in 12%. None of those with otologic causes required mastoid drainage, while all patients with sinus infections required sinus drainage. External frontoethmoidectomies were associated with a lower incidence of fronto‐ethmoid re‐exploration ( P = 0.048), and antrosto‐mies with a lower incidence of maxillary re‐exploration ( P = 0.111), than were more limited drainage procedures. Sinus drainage performed simultaneously with neurosurgical drainage reduced the incidence of sinus re‐exploration ( P = 0.167), neurosurgical re‐exploration ( P = 0.048), and length of hospitalization ( P = 0.020).