Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headaches
Int. arch. otorhinolaryngol. (Impr.)
;
17(3): 246-250, July-Sept. 2013. ilus
Article
in English
| LILACS
| ID: lil-680067
ABSTRACT
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...
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Natural Orifice Endoscopic Surgery
/
Headache
Type of study:
Prognostic study
Limits:
Adult
Language:
English
Journal:
Int. arch. otorhinolaryngol. (Impr.)
Journal subject:
Otolaryngology
Year:
2013
Type:
Article
Affiliation country:
Brazil
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