V A Moskalev, D S Chinarev, R V Kasich, V Yu Shumov
{"title":"[Experience of transnasal endoscopic drainage of rhinosinusogenic frontal lobe abscess].","authors":"V A Moskalev, D S Chinarev, R V Kasich, V Yu Shumov","doi":"10.17116/otorino20248906189","DOIUrl":null,"url":null,"abstract":"<p><p>Intracranial complications in inflammatory diseases of the ear and nose are currently not frequent, but their lethality remains high. The choice of optimal, safe and effective access in surgical treatment of purulent-inflammatory intracranial complications remains a subject of discussions and is based on an individual approach, depends on the volume, localization and clinical condition of the patient.</p><p><strong>Objective: </strong>To demonstrate a clinical case of successful drainage of the brain frontal lobe abscess using endoscopic transnasal access under the control of the navigation system.</p><p><strong>Conclusion: </strong>In case of abscess localization at the skull base and projection of the roof of the lattice labyrinth, drainage of the nidus can be performed using endoscopic endonasal access. Especially when simultaneous sanation of the primary focus is necessary, which allows avoiding neurosurgical intervention.</p>","PeriodicalId":23575,"journal":{"name":"Vestnik otorinolaringologii","volume":"89 6","pages":"89-94"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Vestnik otorinolaringologii","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/otorino20248906189","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Intracranial complications in inflammatory diseases of the ear and nose are currently not frequent, but their lethality remains high. The choice of optimal, safe and effective access in surgical treatment of purulent-inflammatory intracranial complications remains a subject of discussions and is based on an individual approach, depends on the volume, localization and clinical condition of the patient.
Objective: To demonstrate a clinical case of successful drainage of the brain frontal lobe abscess using endoscopic transnasal access under the control of the navigation system.
Conclusion: In case of abscess localization at the skull base and projection of the roof of the lattice labyrinth, drainage of the nidus can be performed using endoscopic endonasal access. Especially when simultaneous sanation of the primary focus is necessary, which allows avoiding neurosurgical intervention.