Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headaches
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Archives of Otorhinolaryngology |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642013000300003 |
Resumo: | INTRODUCTION: The crista galli is part of the ethmoid bone and thus may suffer from the process of pneumatization. Pneumatization occurs in between 3% and 14% of patients, resulting from air cells in the frontal or ethmoid sinuses. AIM: To describe 3 cases of crista galli pneumatization in which the patients developed infection and were treated surgically by endoscopic techniques. METHOD: We present 3 case studies of patients complaining of severe frontal headaches. The patients underwent ENT evaluation, examination by video-endoscopy, and computed tomography, which identified crista galli pneumatization with mucosal thickening and the presence of fluid. Patients underwent treatment with antibiotics and corticosteroids; however, they showed no symptomatic improvement, displayed recurrence of symptoms, and maintained radiographic changes. Thus, patients then underwent drainage through the crista galli via an endoscopic procedure. DISCUSSION: During surgery, mucopurulence and/or mucosal thickening and edema were identified in the pneumatized crista galli. There were no complications during or after surgery. Postoperatively, headache was improved in patients after a minimum follow-up of 6 months. CONCLUSION: Crista galli pneumatization can result in infection, simulating rhinosinusitis. When there is little response to drug therapy, endoscopic surgical treatment is required; the current cases demonstrate that this technique is safe and effective. |
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Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headachesNatural Orifice Endoscopic SurgeryVideo-Assisted SurgeryHeadacheINTRODUCTION: The crista galli is part of the ethmoid bone and thus may suffer from the process of pneumatization. Pneumatization occurs in between 3% and 14% of patients, resulting from air cells in the frontal or ethmoid sinuses. AIM: To describe 3 cases of crista galli pneumatization in which the patients developed infection and were treated surgically by endoscopic techniques. METHOD: We present 3 case studies of patients complaining of severe frontal headaches. The patients underwent ENT evaluation, examination by video-endoscopy, and computed tomography, which identified crista galli pneumatization with mucosal thickening and the presence of fluid. Patients underwent treatment with antibiotics and corticosteroids; however, they showed no symptomatic improvement, displayed recurrence of symptoms, and maintained radiographic changes. Thus, patients then underwent drainage through the crista galli via an endoscopic procedure. DISCUSSION: During surgery, mucopurulence and/or mucosal thickening and edema were identified in the pneumatized crista galli. There were no complications during or after surgery. Postoperatively, headache was improved in patients after a minimum follow-up of 6 months. CONCLUSION: Crista galli pneumatization can result in infection, simulating rhinosinusitis. When there is little response to drug therapy, endoscopic surgical treatment is required; the current cases demonstrate that this technique is safe and effective.Fundação Otorrinolaringologia2013-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642013000300003International Archives of Otorhinolaryngology v.17 n.3 2013reponame:International Archives of Otorhinolaryngologyinstname:Fundação Otorrinolaringologia (FORL)instacron:FORL10.7162/S1809-97772013000300003info:eu-repo/semantics/openAccessSocher,Jan AlessandroSantos,Pedro GeiselCorrea,Vinicius CidralSilva,Leandro Caetano de Barros eeng2015-07-15T00:00:00Zoai:scielo:S1809-48642013000300003Revistahttps://www.scielo.br/j/iao/https://old.scielo.br/oai/scielo-oai.php||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br1809-48641809-4864opendoar:2015-07-15T00:00International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL)false |
dc.title.none.fl_str_mv |
Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headaches |
title |
Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headaches |
spellingShingle |
Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headaches Socher,Jan Alessandro Natural Orifice Endoscopic Surgery Video-Assisted Surgery Headache |
title_short |
Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headaches |
title_full |
Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headaches |
title_fullStr |
Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headaches |
title_full_unstemmed |
Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headaches |
title_sort |
Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headaches |
author |
Socher,Jan Alessandro |
author_facet |
Socher,Jan Alessandro Santos,Pedro Geisel Correa,Vinicius Cidral Silva,Leandro Caetano de Barros e |
author_role |
author |
author2 |
Santos,Pedro Geisel Correa,Vinicius Cidral Silva,Leandro Caetano de Barros e |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Socher,Jan Alessandro Santos,Pedro Geisel Correa,Vinicius Cidral Silva,Leandro Caetano de Barros e |
dc.subject.por.fl_str_mv |
Natural Orifice Endoscopic Surgery Video-Assisted Surgery Headache |
topic |
Natural Orifice Endoscopic Surgery Video-Assisted Surgery Headache |
description |
INTRODUCTION: The crista galli is part of the ethmoid bone and thus may suffer from the process of pneumatization. Pneumatization occurs in between 3% and 14% of patients, resulting from air cells in the frontal or ethmoid sinuses. AIM: To describe 3 cases of crista galli pneumatization in which the patients developed infection and were treated surgically by endoscopic techniques. METHOD: We present 3 case studies of patients complaining of severe frontal headaches. The patients underwent ENT evaluation, examination by video-endoscopy, and computed tomography, which identified crista galli pneumatization with mucosal thickening and the presence of fluid. Patients underwent treatment with antibiotics and corticosteroids; however, they showed no symptomatic improvement, displayed recurrence of symptoms, and maintained radiographic changes. Thus, patients then underwent drainage through the crista galli via an endoscopic procedure. DISCUSSION: During surgery, mucopurulence and/or mucosal thickening and edema were identified in the pneumatized crista galli. There were no complications during or after surgery. Postoperatively, headache was improved in patients after a minimum follow-up of 6 months. CONCLUSION: Crista galli pneumatization can result in infection, simulating rhinosinusitis. When there is little response to drug therapy, endoscopic surgical treatment is required; the current cases demonstrate that this technique is safe and effective. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642013000300003 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642013000300003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.7162/S1809-97772013000300003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
dc.source.none.fl_str_mv |
International Archives of Otorhinolaryngology v.17 n.3 2013 reponame:International Archives of Otorhinolaryngology instname:Fundação Otorrinolaringologia (FORL) instacron:FORL |
instname_str |
Fundação Otorrinolaringologia (FORL) |
instacron_str |
FORL |
institution |
FORL |
reponame_str |
International Archives of Otorhinolaryngology |
collection |
International Archives of Otorhinolaryngology |
repository.name.fl_str_mv |
International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL) |
repository.mail.fl_str_mv |
||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br |
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1754203974461816832 |