scholarly journals Osteomyelitis of right frontal sinus anterior wall

2008 ◽  
Vol 136 (3-4) ◽  
pp. 154-157
Author(s):  
Marko Sente ◽  
Nada Kljajic-Milekic
Keyword(s):  
Frontal Sinus ◽  
Soft Tissues ◽  
Anterior Wall ◽  
Frontal Bone ◽  
Computerised Tomography ◽  
Surgical Exploration ◽  
Laboratory Results ◽  
The Right ◽  
Ethmoid Sinuses ◽  
Sinus Radiography

Introduction The paper describes a very rare, isolated exocranial complication of the purulent frontal sinus inflammation. Frontal bone osteomyelitis occurs either in the course of an acute episode or during the exacerbation of a chronic disease. By distribution, it can be diffuse or circumscript. It is more common in younger males. Case Outline The case described is one of a 43-year-old patient with purulent frontal sinusitis developing into osteomyelitis of the anterior wall of the right frontal sinus, accompanied by the exteriorisation of the process into the frontal region soft tissues. The classical paranasal sinus radiography did not find any pathological changes in bony structures. Computerised tomography findings pointed to purulent inflammation of the frontal and part of the ethmoid sinuses, with a defect of the anterior wall of the right frontal sinus. Conclusion Surgical exploration established a defect in the anterior wall of the right frontal sinus, with an organised purulent collection, 1.3 cm in diameter. During surgery, evacuation of the inflamed mucosa and obliteration of the right frontal sinus were performed. Having analyzed the anamnestic data, radiography and laboratory results, and intraoperative findings, we were not able to conclude decisively whether it was a complication of acute or chronic inflammation. .

Bifrontal Osteoplastic Craniotomy Utilizing the Anterior Wall of the Frontal Sinus: Technical Note

Neurosurgery ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 822-824 ◽  
Author(s):  
A.R.T. Colohan ◽  
J.A. Jane ◽  
T.S. Park ◽  
J.A. Persing
Keyword(s):  
Frontal Sinus ◽  
External Surface ◽  
Anterior Wall ◽  
Technical Note ◽  
Frontal Bone ◽  
Cosmetic Result ◽  
Anterior Fossa ◽  
Burr Holes

Abstract There are various flaps for bifrontal exposure of the anterior fossa classically described in the neurosurgical literature. This article describes a bifrontal split osteoplastic flap that is characterized by removal of the anterior wall of the frontal sinus without the placement of burr holes on the external surface of the frontal bone. The procedure is safe and rapid, gives the same exposure as other techniques, and allows a superior cosmetic result.

An Endonasal Incision Adds a Second Vector of Manipulation During Percutaneous Reduction of Fractures Involving the Frontonasal Region

2020 ◽  
pp. 194338752095268
Author(s):  
Akshay Govind ◽  
Jonathan Jelmini
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Frontal Sinus ◽  
Relevant Literature ◽  
Anterior Wall ◽  
Frontal Bone ◽  
Percutaneous Reduction ◽  
Inferior Aspect ◽  
Stab Incision

Study Design: A case report. Objective: To describe a modification of percutaneous reduction of frontal sinus and/or naso-orbito-ethmoid (NOE) fractures, adding an endonasal intercartilaginous incision to provide a second vector of manipulation. Methods: Case report with particular attention paid to surgical technique, followed by a brief review of relevant literature. Results: Technique: A Carroll-Girard screw is used to engage the thickest part of the anterior wall of the frontal bone through a stab incision just superior to the frontonasal junction. An endonasal intercartilaginous incision is then made and a Cottle elevator is introduced to manipulate the fracture from the inferior aspect of the frontonasal junction. The percutaneous screw and the endonasal elevator provide perpendicular vectors for manipulation, thereby improving ability to reduce fractures when percutaneous traction alone is not successful. The technique is described here in a patient with anterior table frontal sinus fractures combined with posteriorly displaced Markowitz type 1 NOE fractures. Conclusion: While percutaneous reduction of frontal sinus fractures has been previously described, this report adds a subtle but important modification both in indication and technique for optimizing reduction while maintaining surgical simplicity and minimizing morbidity.

scholarly journals Treatment of frontal bone fracture sequelae through inversion of the bone fragment

2016 ◽  
Vol 43 (6) ◽  
pp. 472-475
Author(s):  
JONATHAN RIBEIRO DA SILVA ◽  
CARLOS FERNANDO DE ALMEIDA BARROS MOURÃO ◽  
HERNANDO VALENTIM DA ROCHA JÚNIOR ◽  
LUIZ FERNANDO MAGACHO ◽  
GUTO FIDALGO DAUMAS MORAES ◽  
...  
Keyword(s):  
Frontal Sinus ◽  
Posterior Wall ◽  
Anterior Wall ◽  
Frontal Bone ◽  
Bone Fragment ◽  
Fracture Sequelae ◽  
Motorcycle Accident ◽  
Frontal Sinus Fracture ◽  
Accident Victim ◽  
Good Treatment Option

ABSTRACT Treatment of frontal sinus fractures depends on the structures involved: the anterior wall, the posterior wall and the nasofrontal duct. It may vary from the correction of the defect in the anterior wall to the cranialization with obliteration of the nasofrontal duct. The inversion of the frontal sinus's anterior wall to correct the defect in the fractured region is a good treatment option for sequelae, since this technique eliminates or reduces the use of biomaterial in the area, and allows direct assessment of the permeability of the nasofrontal duct. This work describes the technique of fractured segment inversion for the treatment of frontal sinus fracture sequelae in a motorcycle accident victim.

Superficial surgical landmarks for the frontal sinus

2002 ◽  
Vol 96 (2) ◽  
pp. 320-322 ◽  
Author(s):  
R. Shane Tubbs ◽  
Scott Elton ◽  
George Salter ◽  
Jeffrey P. Blount ◽  
Paul A. Grabb ◽  
...  
Keyword(s):  
Frontal Sinus ◽  
Frontal Bone ◽  
Anatomical Landmarks ◽  
Content Type ◽  
Lateral Extent ◽  
Left And Right ◽  
Frontal Sinuses ◽  
The Right ◽  
Fine Print ◽  
Supraorbital Ridges

Object. There is a lack of reports in the literature that contain descriptions of superficial anatomical landmarks for the identification of the internally located frontal sinus. Neurosurgeons must often enter the cranium through the frontal bone and knowledge of the frontal sinus is essential to minimize complications. Methods. Seventy adult cadaveric frontal sinuses were evaluated. Measurements included both the lateral and superior extent of the frontal sinus in reference to a midpupillary line, and the superior extent of the frontal sinus from the nasion. Frontal sinuses were found bilaterally in all specimens. The mean height of the frontal sinus superior to the nasion was 2.8 cm. In 71.4% and 74.3% of specimens the lateral extent of the frontal sinus was found to be medial to the left and right midpupillary line, respectively. Distances superior to a plane drawn through the supraorbital ridges at a midpupillary line included a mean of 2.5 mm for the left side and 1.8 mm for the right side. Conclusions. Of 70 sinuses, none extended more than 5 mm lateral to a midpupillary line. At this same midpupillary line and at a plane drawn through the supraorbital ridges, the frontal sinus was never higher than 12 mm. Finally, in the midline the frontal sinus never reached more than 4 cm above the nasion. These measurements will assist surgeons who must manipulate the frontal bone.

The massive nodular cutaneous and soft tissues lesions of the right shoulder and the arm as the extramedullary manifestation of the advanced stage of multiple myeloma

Oncoreview ◽  
2017 ◽  
Vol 7 (4) ◽  
pp. 180-183
Author(s):  
Arkadiusz Drobiecki ◽  
Marcin Pasiarski ◽  
Agnieszka Stelmach-Gołdyś ◽  
Bartosz Garus
Keyword(s):  
Multiple Myeloma ◽  
Soft Tissues ◽  
Advanced Stage ◽  
The Right

scholarly journals Ovarian epithelioid angiosarcoma complicating pregnancy: a case report and review of the literature

2021 ◽  
Vol 49 (5) ◽  
pp. 030006052110196
Author(s):  
Xiaotong Peng ◽  
Zhi Duan ◽  
Hongling Yin ◽  
Furong Dai ◽  
Huining Liu
Keyword(s):  
Adverse Events ◽  
Soft Tissues ◽  
Malignant Tumors ◽  
Cystic Teratoma ◽  
Abdominal Distension ◽  
Epithelioid Angiosarcoma ◽  
History Of ◽  
New Ideas ◽  
The Right ◽  
Clinical Awareness

Epithelioid angiosarcoma is a rare and highly aggressive soft tissue angiosarcoma most commonly arising in the deep soft tissues. Given that abundant vascular cavities anastomose with each other, most angiosarcomas prone to metastasis recur quickly, and the overall prognosis is poor. We report a 25-year-old woman at 24 weeks’ gestation who presented with a 1-month history of abdominal distension. Ultrasonography suggested a mass in the right adnexa, and she underwent two operations owing to uncontrolled intraperitoneal bleeding with progressive anemia. The right ovarian tumor and right adnexa were removed successively. Biopsy yielded a diagnosis of primary epithelioid angiosarcoma with mature cystic teratoma. The patient died from uncontrolled progressive bleeding 1 week after the second operation. This case revealed that epithelial angiosarcoma is a highly malignant endothelial cell tumor. The results of surgery and chemoradiotherapy tend to be poor, and the recurrence rate is high. The purpose of this study is to raise clinical awareness of epithelial angiosarcoma and its adverse events and to provide new ideas for the treatment of these adverse events. Immunohistochemical staining of pathological specimens can facilitate diagnosis. Pregnancy with malignant tumors may lead to rapid disease progression, extensive lesions, and a poor prognosis.

scholarly journals A Case Report on Frontal Osteoma

Pulse ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 45-48
Author(s):  
MR Molla ◽  
F Ferdousi ◽  
DR Shankar ◽  
AKMB Karim
Keyword(s):  
Case Report ◽  
Frontal Lobe ◽  
Frontal Sinus ◽  
Clinical Findings ◽  
Complete Excision ◽  
Tumor Mass ◽  
The Right ◽  
Orbital Region

A 13 years old boy admitted with the complaint of progressive exophthalmos and gradually decreasing vision on right eye, also occasional headache and deformity on the right fronto-orbital region. Radiological & clinical findings revealed a case of frontal osteoma in the right frontal sinus extending up to right frontal lobe, eroding right roof of the orbit. Complete excision of the tumor mass was possible surgically. Biopsy confirmed a case of osteoma. Below is a discussion on diagnosis & management of frontal osteomaPulse Vol.9 January-December 2016 p.45-48

scholarly journals Primitive Neuroectodermal Tumor of the Liver: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Eduardo Cambruzzi ◽  
Enilde Eloena Guerra ◽  
Hamilton Cardoso Hilgert ◽  
Herbert Jorge Schmitz ◽  
Vinícius Lopes Silva ◽  
...  
Keyword(s):  
Primitive Neuroectodermal Tumor ◽  
Soft Tissues ◽  
Young Patients ◽  
Neuroectodermal Tumor ◽  
Solid Mass ◽  
Resected Liver ◽  
The Central Nervous System ◽  
Right Lobe ◽  
Upper Abdominal ◽  
The Right

Primary liver sarcomas represent a rare group of neoplasias, with angiosarcoma being the most common histological type. Primitive neuroectodermal tumor (PNET) represents a high malignant neoplasia that usually affects the central nervous system and soft tissues. An 18-year-old male patient was admitted with clinical complains of pain in the right upper abdominal quadrant. The clinical evaluation revealed a solid mass in the right hepatic lobe. On the gross examination of the resected liver specimen, the right lobe of the liver was replaced by a yellow-red solid mass measuring 21 cm in its largest dimension. On the histopathology, a tumor composed of small round blue cells with little cytoplasm and round nuclei was identified. The lesion revealed positive immunoexpression for vimentin and CD99 and negative immunostaining for desmin, CD45, cytokeratin, and neuroblastoma protein, suggesting, then, the diagnosis of PNET. Although it is an unusual tumor, it should be considered in the differential diagnosis of liver masses, especially in young patients.

NECROTISING SOFT TISSUE INFECTION OF BILATERAL UPPER LIMB CAUSED BY THE INJECTION OF ORAL BACTERIA: A CASE REPORT

Hand Surgery ◽  
2013 ◽  
Vol 18 (02) ◽  
pp. 243-246 ◽  
Author(s):  
Yuichi Yoshii ◽  
Tomoo Ishii ◽  
Shinsuke Sakai
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Soft Tissue Infection ◽  
Soft Tissues ◽  
Biceps Brachii ◽  
Subcutaneous Tissue ◽  
Oral Bacteria ◽  
Tissue Infection ◽  
Left Elbow ◽  
The Right

Necrotising soft tissue infection is a rare and rapid process with devastating consequence. We report one case of necrotising soft tissue infection in a bilateral upper limb with uncommon oral bacteria. Radiological imaging revealed the presence of gas in upper limb soft tissues, and an MRI showed the localised signal changes in the biceps muscle of the right upper arm, and the subcutaneous tissue of the left elbow. The patient was treated with surgical resection of the infected muscle and wide debridement of the subcutaneous tissue. Antibiotics were initiated. The patient recovered immediately without functional deficit. The unique features of this patient were possible to observe in the progression of the necrotising soft tissue infection in the bilateral upper limb with intentional injection of oral bacteria, and the effect of biceps brachii resection in a prime age worker.

scholarly journals Young Stages of Zeugopterus punctatus

1894 ◽  
Vol 3 (3) ◽  
pp. 202-205 ◽  
Author(s):  
J. T. Cunningham
Keyword(s):  
Frontal Bone ◽  
The Other ◽  
Terminal Portion ◽  
Facial Region ◽  
The Core ◽  
Dorsal Fin ◽  
Undifferentiated Cells ◽  
Auditory Region ◽  
The Right

On May 4th of the current year a number of small Pleuronectids were captured by the hand in a pool left by the ebb tide at Plymouth Breakwater, and brought to me alive. Two of them were very transparent, and, from their habit of lying on the right side when at rest, evidently sinistral forms. One of them was almost perfectly symmetrical; while in the other the torsion of the facial region and eyes had commenced. The pigmentation had the form of interrupted transverse bands, which were most conspicuous on the dorsal and ventral fins; on the dorsal fin seven bands were indicated. The terminal portion of the original trunk, containing the notochord, was seen at the upper edge of the caudal fin. The neurochord was covered with pigment, forming a very distinct band, situated, however, not in the skin, but in the connective tissue surrounding the neurochord or spinal cord. The mouth was large, and the snout upturned. The pectoral fin was large, the pelvic small. But the most important characteristic was the presence of two straight spines projecting laterally from the auditory region. These have been called otocystic spines by Prof. McIntosh, but I think they would be more appropriately described as periotic spines, as they are evidently projections of the periotic cartilage or bone; to which particular bones of the periotic region they belong has not been determined. Mr. Holt cut sections of the spines in situ, and found that they consisted of a knob of periotic cartilage passing into a mass of undifferentiated cells, the whole forming the core of a dermal spine consisting of hyaline ossified tissue. In my specimens I observed a third spine, much smaller, situated in the region of the frontal bone, behind and above the eye; it was visible in both the stages.

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