Waizel HS, Jerves UM, Blanco MA, Vargas AA

Language: Spanish
References: 18
Page: 40-46
PDF size: 241.50 Kb.

ABSTRACT

Sinusitis of dental origin, is a well established entity, and represents approximately 10-12% of the cases of maxillary sinusitis. This should be considered in patients with symptoms of unilateral maxillary disease with a history of dental infection. A 37-year-old man presented to the ENT department with a 7 day history of left upper molar pain. Three days after the start of pain, the patient had intermittent, fetid, anterior and posterior purulent rhinorrhea in moderate quantity that lead to bilateral nasal obstruction (predominantly left-sided). In addition, he had an increase in the diameter of the left orbit, which had progressed slowly over the time leading to diplopia (in all the visual positions). The diagnosis was made as acute complicated maxillary sinusitis with orbital cellulites, which was of dental origin. The treatment of this condition involves not only the management of the sinus infection, but also the dental origin. An endoscopic medial antrostomy in conjunction with the dental procedure is the treatment of choice. In regards to the orbital complications, the treatment is primarily surgical. The study and treatment of these patients requires a multidisciplinary approach.

REFERENCES

1. Villegas SR, Arriaga DJ. Manejo Médico Quirúrgico. Programa de Actualización Continua en Neonatología. México: Intersistemas; 2005. p. 329-332.

2. Ashcraft KW, Holder TM. Cirugía pediátrica. 2a ed. México: Interamericana; 1995. p. 314-328.

3. Etensel B, Temir G, Karkiner A, Melek M, Edirney M, Karaca I. Atresia of the colon. J Pediat Surg 2005; 40: 1258-1268.

4. Martínez SN, Martínez Hernández-Magro P. Atresia congénita de colon. Rev Mex Pediatr 2002; 69 (6): 243-246.

5. Werle MM, Sheehan JE, Mitchell AA. Maternal medication use in risks of gastroschisis and small intestinal atresia. Am J Epidemiol 2002; 1: 26-31.

6. García VA, Cano NI, Portella CE, Benavent GM, Berchi GF: Estenosis Congénita de colon. An Esp Pediatr 2002 (3); 56: 258-260.

7. Dalla-Vecchia LK, Grosfeld JL, West KW, Rescoria FJ, Scherer, LR, Engum SA. Intestinal atresia and stenosis. A 25 year experience with 277 cases. Arch Surg 1998; 133: 490-497.

8. Cox SG, Numanoglu A, Millar AJ, Rode H. Colonic atresia: Spectrum of presentation and pitfalls in management. A review of 14 cases. Pediatr Surg Int 2005; 21: 813-818.

9. Avery GB. Neonatology. Pathology and Management of the Newborn. 7th ed. Philadelphia, PA: Lippincott; 2004. p. 918-931.

10. Lloyd D. Clinic’s manifestation and management. 8th ed. Philadelphia, PA: Lippincott; 2005. p. 561-572.

11. Stocker JT, Dehner LP. Pediatric Pathology. 2nd ed. Philadelphia, PA: Lippincott; 2002. p. 643-645.

12. Grossfeld J. Intestinal Atresia. J Pediatr Surg 1979; 14: 368.

13. Behrman RE, Kliegman RM, Jenson HB. Intestinal atresia, stenosis and malrotation. Nelson Textbook of Pediatrics: Philadelphia, PA: WB Saunders; 2000. p. 1132-1135.

14. Takahiko S, Hisami A, Yoshio W, Toru H, Fujio I, Kenitiro K, Shinsuke K, Yuji M, Keiko O. Colonic atresia and Hirschsprung´s, disease: Importance of histological examination of the distal bowel. J Pediatr Surg 2002; 37 (8): E19, 1-3.

15. Karnak I, Ciftci A, Emin SM, Tanyel FC, Buyukpamukcu N. Colonic atresia: surgical management Abd outcome. J Pediatr Surg Int 2001; 17: 631-635.

16. Watts AC. Congenital colonic atresia: Should primary anastomosis always be the goal? J Pediatr Surg Int 2003; 19: 14-17

17. Martínez-Ferro M, Cannizzaro C, Rodríguez S, Rabasa C. Neonatología quirúrgica. Buenos Aires: Grupo Guía; 2004. p. 463-473.

18. Sanjuán RS, Moreno HC, Santamaría OJ. Atresia de sigma ¿cierre quirúrgico primario o secundario? Cir Pediatr 2005; 18: 42-45.