1/11. Headache and the frontal sinus.Frontal headache is a common complaint associated with frontal sinus disease and is often the only complaint. It is also a common location for headache pain in association with other primary and secondary headache disorders. Therefore, the clinician needs to have a thorough understanding of the differential diagnosis of frontal headache pain. This article reviews the causes of frontal pain in association with nasal and sinus pathology and also discusses other headache disorders that can present with similar symptoms.- - - - - - - - - - ranking = 1keywords = headache (Clic here for more details about this article) |
2/11. Intracranial complications of frontal sinusitis in children: Pott's puffy tumor revisited.The objective of the present study is to describe the diagnosis and treatment of intracranial complications of frontal sinusitis (Pott's puffy tumor) in a series of pediatric patients at our institution. A rare entity, Pott's puffy tumor has been reported in only 21 pediatric cases in the literature of the antibiotic era. The hospital records and radiographic files at Rainbow Babies and Childrens Hospital, Cleveland, ohio, USA, over the previous 16 years were retrospectively reviewed in a search for patients with the diagnosis of Pott's puffy tumor, defined as scalp swelling and associated intracranial infection. There were 6 male patients and 1 female patient. Ages ranged from 11 to 18 years (median 14.5 years). Intracranial infections consisted of epidural abscess in 5 patients, subdural empyema in 4 and brain abscess in 1. Intraoperative cultures grew anaerobic organisms in 1 patient, microaerophilic streptococcus in 5 patients, klebsiella species in 1 patient and streptococcus pneumoniae in another. All patients presented with frontal scalp swelling, and other common symptoms included headache, fever, nasal drainage and frontal sinus tenderness. Five patients were treated with antibiotics prior to their presentation. Four patients presented with neurologic decompensation characterized by varying degrees of hemiparesis, obtundation, pupillary dilatation or aphasia. All patients underwent craniotomy and evacuation of the intracranial infection. Even severely impaired patients demonstrated full neurologic recovery. Despite the widespread use of antibiotics, neurosurgical complications of sinusitis continue to occur. A high degree of suspicion, along with prompt neurosurgical intervention and the use of appropriate antibiotics, can result in favorable outcomes in even the sickest patients.- - - - - - - - - - ranking = 0.2keywords = headache (Clic here for more details about this article) |
3/11. pituitary apoplexy: a pathologic entity from an otolaryngologist's view.A case of pituitary apoplexy, which was initially misdiagnosed as 'acute frontal sinusitis', is reported. The presenting symptoms and signs of the patient were headache, moderate fever, left periorbital edema, marked tenderness over the left frontal sinus and purulent secretion over the left middle turbinate and nasopharynx. These clinical symptoms were wrongly perceived as complicated frontal sinusitis. The CT scan and the elective right carotid angiography showed a pituitary adenoma. Therefore pituitary apoplexy of a preexisting pituitary adenoma was diagnosed. The patient underwent surgical removal of the adenoma and his postoperative course was uneventful. Thus otolaryngologists should consider pituitary apoplexy in the differential diagnosis of pathologies concerning the anatomic area of the anterior cranial fossa.- - - - - - - - - - ranking = 0.2keywords = headache (Clic here for more details about this article) |
4/11. An aseptic meningitis picture from incipient brain abscess.A preadolescent with headache and stiff neck presented for emergency department care. The presumptive diagnosis of viral meningitis was entertained on the basis of clinical examination and cerebrospinal fluid analysis. Events subsequent to his release from the department formed the stimulus for this report. It is apparent that patients with complicated sinusitis may present with a constellation of findings consistent with viral meningitis.- - - - - - - - - - ranking = 0.2keywords = headache (Clic here for more details about this article) |
5/11. Upper eyelid fistula caused by chronic frontal sinusitis.A chronic upper eyelid fistula stemming from frontal sinus infection was found in a 21-year-old male patient. The diagnosis and treatment approach to this interesting case that remained undiagnosed for a long time are presented in detail.- - - - - - - - - - ranking = 0.0012486512044688keywords = upper (Clic here for more details about this article) |
6/11. Frontal sinus osteoma and palpebral abscess: case report.Osteomas of the paranasal sinuses are slow-growing, benign tumours most frequently found in the frontal sinus with an incidence that varies from 47% to 80% of the cases; there are often no symptoms and they are diagnosed by chance during an x-ray examination. The symptoms are usually headaches and those secondary to ocular or neurological complications. The therapy to be preferred is surgery. The authors describe a case of frontal osteoma complicated by frontal sinusitis and palpebral abscess.- - - - - - - - - - ranking = 0.2keywords = headache (Clic here for more details about this article) |
7/11. Acute frontal sinus barotrauma.A 25-year-old man presented to the emergency department with an acute onset of frontal sinus pain during descent on a commercial airliner. There was no history of recent upper respiratory infection, sinus infection, or chronic allergic rhinitis. Sinus radiographs demonstrated a left frontal sinus submucosal hematoma. Symptoms improved within 24 hours with systemic and topical decongestants/vasoconstrictors and a nonsteroidal antiinflammatory agent. He was asymptomatic at 1 week postinjury.- - - - - - - - - - ranking = 0.0012486512044688keywords = upper (Clic here for more details about this article) |
8/11. A new approach to sinus relief.You suffer from "sinus". Medical treatment isn't getting you better, and now you need surgery. It is better that you be treated surgically today rather than as in the past. Five years ago, surgery meant an incision through the eyebrow, with probable numbing of the forehead, in order to relieve the pain of acute frontal sinusitis; or a long eyebrow incision, or shaving the front part of the scalp and pulling down the forehead skin from the skull was the procedure of choice for chronic disease in these sinuses. If the cheek sinuses were chronically diseased, an incision was made through the gums above the upper teeth, often resulting in numbing of the teeth and marked swelling of the cheek.- - - - - - - - - - ranking = 0.0012486512044688keywords = upper (Clic here for more details about this article) |
9/11. Pott's puffy tumor: a complication of frontal sinusitis.In children sinusitis is a frequent complication of upper respiratory infections but an infrequently considered diagnosis. Although most sinus infections are resolved without complications, when complications do occur they can be serious or life threatening. The most common ones occur in the orbit, but CNS extension is not infrequent. osteomyelitis and resulting subperiosteal abscess of the frontal bone--the so-called Pott's puffy tumor--is a less common, and perhaps less frequently recognized, serious complication of frontal sinusitis. This paper describes two patients with subperiosteal abscess resulting from frontal sinusitis, one with CNS and orbital extension. A brief literature review is presented, and presentation, diagnosis, and treatment are discussed.- - - - - - - - - - ranking = 0.0012486512044688keywords = upper (Clic here for more details about this article) |
10/11. Erosion of the wall of the frontal sinus caused by mucopyocele in cystic fibrosis.Three patients with cystic fibrosis had complete erosion of one of the walls of a frontal sinus caused by a mucopyocele. Only fibrous tissue then separated the purulent contents of the sinus from the orbit or central nervous system. Initial surgery was unsuccessful, but two patients have remained free of symptoms after a second obliterating procedure. Sinus mucocele must be excluded by appropriate radiographic techniques when patients with cystic fibrosis have severe frontal headache and acute ophthalmologic symptoms.- - - - - - - - - - ranking = 0.2keywords = headache (Clic here for more details about this article) |
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