Wydawnictwo Medyczne Mediton
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Under the scientific patronage of

the Polish Society of Audiology and Phoniatrics

 

Original articles

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Osteomyelitis of frontal bone as a complication of sinusitis in childhood – a cases report
Anna Zakrzewska, Agnieszka Sońta, Zbigniew Kozłowski 1/
  • 1/ Klinika Otolaryngologii, Audiologii i Foniatrii Dziecięcej USK nr 4 w Łodzi

Introduction. Osteomyelitis is an inflammatory process affecting both the cortical and the cancellous bone. This is
a rare complication of the frontal bone which spreads from themucous membrane of the frontal sinus through the endosteal veins. Osteomyelitis destroys the front wall of the sinus and may cause formation of subperiosteal abscess, known also as Pott’s puffy tumor.
Aim. To present three cases of patients who developed symptoms of osteomyelitis frontalis as a complication of sinusitis.
Material and methods. A retrospective analysis of the course of the disease and of the agents which might play a role in the development of osteomyelitis frontalis as a complication of rhinosinusitis in three patients aged 6-17.
Results. Typical subperiostal abscess was unambiguously diagnosed only in one case. The second of the patients suffered from chronic sinusitis and his frontal and inferior portions of frontal sinus had been broken three months before treatment. This was the main cause of the complication. Osteomyelitis frontalis in the youngest, 6 year-old boy was diagnosed from the course of the disease and CT scans which were taken four weeks after treatment.
Conclusions. The inflammation of frontal bone marrow is a very rare disease but always constitutes a heavy complication of sinusitis which may affect even young children with developed frontal sinus. The main factors which promote the disease include anatomical abnormalities of the nose, injures of sinuses, metabolic diseases of bone and variability of development of frontal sinuses.

Otorynolaryngologia vol 12. no 4. Decemberpages: from 198to 207
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