[Epidural empyema and orbital phlegmon. Computerized tomographic diagnosis of rare complications of sinusitis].
Among 4019 computed tomograms of the head performed in 2 years we found 2 epidural empyemas combined with an ipsilateral orbital phlegmon and one periorbital abscess with an incipient orbital phlegmon. In all 3 patients they turned out to be intracranial or orbital complications of an adjacent paranasal sinusitis. The CT diagnosis was a guideline for further therapy and was verified by immediate surgery. The reliable diagnosis of orbital and intracranial space-occupying lesions makes CT the radiological method of choice in case of suspicion of a complicated sinusitis.
D000293:Adolescent; D000328:Adult; D002481:Cellulitis / Q000000981:diagnostic imaging / Q000209:etiology*; D004653:Empyema / Q000000981:diagnostic imaging / Q000209:etiology*; D004824:Epidural Space; D005260:Female; D005626:Frontal Sinus; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D012852:Sinusitis / Q000150:complications*; D014057:Tomography, X-Ray Computed
Epidurales Empyem und Orbitaphlegmone. Computertomographische Diagnostik seltener Sinusitiskomplikationen.