title: [Intracranial complications of sinusitis in the material of the Otolaryngology Department, K. Marcinkowski University of Medical Sciences in Poznań in the years 1964-1999].
abstract: In the period of 35 years 25 patients with intracranial complications of paranasal sinusitis were treated in the Department of Otolaryngology of the Karol Marcinkowski University School of Medical Sciences in Poznań. In the past 15 years the number of complications decreased annually by half. Intracranial sinusal complications were more frequently present in young men. In 25 patients abscesses of the frontal lobe and epidural abscesses were most often diagnosed. Surgical treatment was carried out in each case when the inflammation process spread into the bony parts or into intracranial space. The method of choice in treatment of frontal lobe abscess and subdural abscesses is elimination of sinuses inflammatory foci with a simultaneous evacuation of the abscess by puncturing of the abscess and gradual exchange of its content into antibiotic solution. Intensive antibiotic therapy was carried out for the period of 4 weeks. Mortality rate in our material concerned patients with the brain frontal lobe abscesses and amounted to 12%. In the last 15 years we succeeded to treat all 17 patients.
authors.affiliation: Klinika Otolaryngologii Katedry Chorób Ucha, Nosa, Gardła i Krtani AM im. K. Marcinkowskiego w Poznaniu.
authors.forename: Z
authors.initials: Z
authors.lastname: Szmeja
authors.forename: A
authors.initials: A
authors.lastname: Kruk-Zagajewska
authors.forename: W
authors.initials: W
authors.lastname: Szyfter
authors.forename: B
authors.initials: B
authors.lastname: Kulczyński
authors.forename: K
authors.initials: K
authors.lastname: Piatkowski
mesh_terms: D000328:Adult; D001922:Brain Abscess / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D001929:Brain Edema / Q000175:diagnosis; D002391:Catchment Area, Health; D005260:Female; D006748:Hospital Departments; D006801:Humans; D008297:Male; D010036:Otolaryngology; D011044:Poland / Q000453:epidemiology; D012852:Sinusitis / Q000453:epidemiology / Q000382:microbiology*; D014057:Tomography, X-Ray Computed
vernacular_title: Zatokopochodne powikłania wewnatrzczaszkowe w materiale Kliniki Otolaryngologii AM w Poznaniu w latach 1964-1999.