Polymicrobial Skull Base Osteomyelitis Related to Chronic Sphenoiditis and Endoscopic Sinus Surgery

Laryngoscope. 2021 Apr;131(4):E1086-E1087. doi: 10.1002/lary.29092. Epub 2020 Sep 29.

Abstract

Skull base osteomyelitis (SBO) secondary to endoscopic surgery for chronic sinusitis and post-operative sphenopalatine artery electrocautery has not been previously reported. This case report details an instance of Central SBO with an unusual microbiology profile and highlights the need to readily consider SBO should patients present with persistent headache and cranial nerve palsies following sinus surgery. Laryngoscope, 131:E1086-E1087, 2021.

Keywords: Central skull base osteomyelitis; chronic sphenoid rhinosinusitis; sinogenic skull base osteomyelitis; sphenoid bone; sphenopalatine artery.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Endoscopy*
  • Humans
  • Male
  • Osteomyelitis / diagnostic imaging
  • Osteomyelitis / drug therapy
  • Osteomyelitis / microbiology*
  • Postoperative Complications / microbiology*
  • Sinusitis / surgery*
  • Skull Base / diagnostic imaging
  • Skull Base / microbiology*

Substances

  • Anti-Bacterial Agents