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DOI: 10.1055/a-2015-8371
Frontal Sinus Mucosa Bacteriological Features: Evaluation after Unintentional Opening in Neurosurgery
Autor*innen
Funding The second author, Hidetoshi Ooigawa, received financial support for the conduct of the research from the research fund of the Saitama Cardiovascular and Respiratory Center. The funding source was not involved in this study design.
Abstract
Objectives The bacteriological features of the frontal sinus mucosa may impose significant complications in neurosurgery, when breached unintentionally. This study aimed to investigate the bacterial flora in patients undergoing frontal craniotomy for cerebrovascular substrate surgery.
Design This is a single-center prospective study.
Setting When mucosal laceration occurred, the patients underwent frontal sinus reconstruction with mucosa reconstruction, preserving the nasofrontal duct.
Participants We enrolled eight consecutive patients who underwent bifrontal craniotomy associated with frontal sinus mucosa laceration.
Main Outcome Measures A portion of the mucosa was extracted during the reconstructive procedure and was sent for microbiological analysis.
Results None of the patients presented with the bacterial flora in the mucosal cultures. No patient experienced postoperative cerebrospinal fluid leakage or meningitis. One patient with a clinical history of chronic maxillary sinusitis presented with a subcutaneous abscess around the forehead at 9 months postoperatively. The patient rapidly recovered after receiving oral administration of antibiotics.
Conclusions Our findings demonstrated that the frontal sinuses were maintained in an aseptic environment in all cases. The results may encourage the development and wider use of transfrontal sinus approaches.
Publikationsverlauf
Eingereicht: 26. August 2022
Angenommen: 09. Januar 2023
Accepted Manuscript online:
19. Januar 2023
Artikel online veröffentlicht:
20. Februar 2023
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