Abstract

Introduction. Diagnosing and treating acute pyogenic sinusitis represent a difficult issue of otorhinolaryngology, which has not been solved completely yet. According to statistics, 5 to 10 % of adults suffer from one form of sinusitis or another. The most life-threatening type of this pathology manifestation is the development of intracranial and orbital complications that occur in 1 % of patients. These types of complications are an absolute surgical indication. Aim. To demonstrate a rare case of patient with acute pyogenic sinusitis complication. Material and Methods - This article describes a unique clinical case of a 50-year-old patient with the development of a brain abscess in combination with subdural empyema against the background of complications of the course of acute pyogenic sinusitis. Results and Discussion. The clinical case presented clearly demonstrated the need for correctly choosing and timely using advanced radiological methods to identify, assess the prevalence of the disease, and further determine the treatment strategy, both for the most acute pyogenic sinusitis manifestations and their intracranial and orbital complications. Conclusions. In connection with the results obtained, based on this clinical case, it can be concluded that a multidisciplinary approach to the assessment and treatment of acute purulent sinusitis and the active interaction among doctors majoring in various medical professions are the key to the successful treatment of patients and timely diagnosis of complications of the disease.

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