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Komplikationen bei entzündlichen Erkrankungen der Nasennebenhöhlen

Complications with inflammatory diseases of the nasal sinuses

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Zusammenfassung

Die anatomische Nähe der Nasennebenhöhlen zum Gehirn und zur Orbita erklärt das Auftreten von auch heute noch schweren und lebensbedrohlichen entzündlichen Komplikationen bei Sinusitis. Zwar treten diese schweren Fälle insgesamt selten auf, sollten aber wegen ihrer Letalität von 5–10% rechtzeitig erkannt und behandelt werden. Im vorliegenden Beitrag werden Diagnostik und Therapie bei akuten Komplikationen infolge von Entzündungen sowie bei Mukozelen der Nasennebenhöhlen nach aktuellem Stand dargestellt.

Abstract

The close localization of the paranasal sinuses both to the brain and the orbit can even today lead to severe and potentially lethal complications in patients with sinusitis. These incidents are rare, however, they should be duly diagnosed and treated since fatal outcome is described in 5–10% of cases. Current diagnosis and therapy for acute inflammatory complications and mucoceles of paranasal sinuses are presented in this article.

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Iro, H., Wurm, J. & Zenk, J. Komplikationen bei entzündlichen Erkrankungen der Nasennebenhöhlen. HNO 52, 395–408 (2004). https://doi.org/10.1007/s00106-004-1070-8

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