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Updated: Jul 13, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Frontal sinus mini-trephination for acute sinusitis complicated by intracranial infection
1Department of Paediatric Otolaryngology, Head and Neck Surgery, Auckland Starship Children's Hospital, Park Road, Grafton, New Zealand. david@ent4kids.com.au
Introduction:
Acute bacterial sinusitis is common in the pediatric population. Intracranial spread of infection is a rare but life-threatening complication of acute sinusitis. Due to the infrequent presentation of this complication, there are no well-defined management protocols for the acute sinusitis.
Case Series:
We present three pediatric cases where children presented with intracranial sepsis, and the underlying source of infection was from the paranasal sinuses. In all cases, endoscopic sinus surgery was performed in the acute setting, with the use of frontal sinus mini-trephines playing a significant role.
Discussion:
We describe our experience and review the available literature.
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