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Sphenoethmoid sinusitis in a child resulting in a disastrous intracranial sequela
Aye Jane Sow1, Jeevanan Jahendran, Charng Jeng Toh
1Department of Otorhinolaryngology, Sarawak General Hospital, 93586 Kuching, Sarawak, Malaysia. sowayejane@gmail.com
Abstract:
Localized sphenoethmoid sinusitis in children is a rare occurrence. It is usually overlooked because of the misconception that the sinuses are not developed. We describe a case of localized acute sphenoid and right posterior ethmoid sinusitis that presented as right frontobasal subdural empyema and multiple deep cerebral abscesses. Morbidity from subdural empyema in children is high. Early diagnosis and treatment based on recognition that the etiology might involve the paranasal sinuses affects the overall prognosis.
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The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...

