Subdural empyema complicating a concha bullosa pyocele.
Concha bullosa is the most common anatomic variant of the middle turbinate and remains usually asymptomatic. We report a case of concha bullosa pyocele with a subdural empyema in a 11-year-old girl presenting with a subcutaneous tumefaction without neurologic deficit. Computed tomography and magnetic resonance imaging confirmed a subdural empyema communicating with subcutaneous effusion and the presence of a concha bullosa pyocele being responsible for the obstruction of ostiomeatal complex leading to frontal sinusitis. Resection of the middle turbinate with a middle meatotomy and a frontal skin incision combined with an adequate antibiotic treatment allowed this child to recover within 6 weeks.
Marianowski
Rémi
R
Department of Pediatric Otorhinolaryngology, Hôpital Necker Enfants Malades, Paris, France. r.marianowski@free.fr
Farragi
Marcello
M
Zerah
Michel
M
Brunelle
Francis
F
Manach
Yves
Y
D002648:Child; D013354:Empyema, Subdural / Q000150:complications*; D005260:Female; D015522:Frontal Sinusitis / Q000209:etiology; D006801:Humans; D009078:Mucocele / Q000175:diagnosis*; D015508:Nasal Obstruction / Q000150:complications; D010254:Paranasal Sinus Diseases / Q000150:complications*; D014420:Turbinates / Q000601:surgery