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September 1988

Intracranial Abscesses Secondary to Paranasal Sinuses and Orbital Infections in Adults and Children

Arch Otolaryngol Head Neck Surg. 1988;114(9):949. doi:10.1001/archotol.1988.01860210015002

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During the January 1988 meeting of the Western Section of the Triological Society in Coronado, Calif, Maniglia and collaborators described their experience in the diagnosis and management of intracranial abscesses secondary to orbital and paranasal sinus infections in adults and children. They postulate that the incidence of intracranial abscesses secondary to orbital and paranasal sinus infections appears to be on the increase compared with those of otogenic origin. Great progress has been made in patient care and surgical techniques in the fields of Otolaryngology—Head and neck surgery, neurosurgery, ophthalmology, and neurosurgery and infectious disease therapy. Yet, the mortality rate of patients afflicted by these conditions remains as high as 40%. Fourteen cases were reported. The causes were bacterial infections, mucormycosis, nasal dermoid cyst, and squamous cell carcinoma of the frontal sinus. Anaerobic organisms were the predominant cause of the infectious processes. The primary sources of infection were treated surgically, but

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