급성 접형동염에 의한 중두개와 경막외농양 1예

Despite improvements in antibiotic therapies and surgical techniques, sinusitis still carries a risk of serious and potentially fatal complications. Intracranial complications of paranasal sinusitis constitute true surgical and medical emergencies. We present a case of sphenoid sinusitis complicated with middle cranial fossa epidural abscess. The patient made a satisfactory recovery with endoscopic sinus drainage and antibiotic therapy without neurosurgical procedure. The diagnosis of intracranial complications of sinusitis requires a high index of suspicion and is confirmed by imaging studies. Treatment of intracranial infection should include not only appropriate antibiotic therapy but also surgical drainage of locular infection. (J Clinical Otolaryngol 2004;15:277-281)