[Peculiarities of surgical technique for the treatment of rhinogenic abscesses of the frontal cerebral lobe].
Peculiar features of the clinical picture of rhinogenic abscesses of the frontal cerebral lobe (RAFCL) were studied for the purpose of optimization of medical and diagnostic measures intended for the early detection of this severe disease. Causes and pathways of infection penetrating in the cranial cavity and possibilities of RAFCL diagnosis were thoroughly analysed in 4 patients with the help of computerized tomography (CT), in 1 patients by brain ultrasound study (BUS) during osteoplastic trepanation (OPT), and in 9 patients using neurologic diagnostic tools. A total of 14 patients were given treatment for RAFCL; one of them died. The study has demonstrated the possibility to use BUS in situations where CT is unfeasible. The method proposed by V.I. Morokhoev [9] was employed that comprises an algorithm for the search, opening, and drainage of RAFCL along with adequate combined therapy by means of simultaneous catheterization of the temporal artery at the site of RAFCL localization. Opening of RAFCL through the frontal sinus was shown to be less traumatic than OPT indications for which are currently limited. It is emphasized that the mechanism of cooperation between otorhinolaryngologists and neurosurgeons in this country needs to be further improved.
Morokhoev
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D000293:Adolescent; D000328:Adult; D001922:Brain Abscess / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005625:Frontal Lobe; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods*; D009668:Nose Diseases / Q000150:complications*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014207:Trephining; D017585:Ultrasonography, Doppler, Transcranial; D055815:Young Adult