Odontogenic Pansinusitis Complicated by Orbital Cellulitis, Epidural Empyema and Intracerebral Abscess of Fronto-basal Region: Case Report

Sinusitis is a relatively common problem, which still can be complicated by intracranial and orbital involment. Intracranial abscesses are uncommon, serious, neurological condition associated with significant morbidity and mortality. A case report of sinusitis, complicated by orbital cellulitis, epidural empyema and intracerebral abscess is presented. The patient was successfully treated by emergency surgical intervention including Coldwell-Luke sinusotomy with perforation of the roof of maxillary sinus, ethmoidotomy, left sided lateral supraorbital craniotomy with perforation of the orbital roof, accompained by parenteral antibiotic administration and tight postoperative observations by CT monitoring.