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The close proximity of the sinuses to the brain makes brain infections one of the most dangerous complication of acute bacterial sinusitis, especially when the frontal and sphenoid sinuses are involved. These infections can result from invasion of anaerobic bacteria through the bones or blood vessels.
Frontal sinuses are rarely symmetrical as the septum between them frequently deviates to either side of the midline. [3] [1] The two sinuses also vary in extent compared to one another. [2] Their size of the frontal sinuses is highly variable. [2] Rarely, one or both sinuses is hypoplastic [1] or even absent. [1] [2]
Not every cold results in a sinus infection — in fact, the vast majority don’t. “When you get a bad cold, about 10% of the time you’re going to get some type of an infection, either an ear ...
At birth, only the maxillary sinus and the ethmoid sinus are developed but not yet pneumatized; only by the age of seven are they fully aerated. The sphenoid sinus appears at the age of three, and the frontal sinuses first appear at the age of six, and fully develop during adulthood. [5]
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The frontonasal duct is a duct through which either frontal sinus drains into the nasal cavity. [2] [3] Each frontal sinus opens into the frontonasal duct by an opening (the opening of frontal sinus or frontal sinus aperture [4]) on the inferomedial part [3] of the floor of the sinus. [4]
In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom. This is due to pain originating from the frontal sinus, it being above the brow bones. Less common is pain referred to the temporal, occipital, or retrobulbar region. Epistaxis or serosanguineous secretion from the nose may occur.
The danger triangle of the face consists of the area from the corners of the mouth to the bridge of the nose, including the nose and maxilla. [1] [2]: 345–346 Due to the special nature of the blood supply to the human nose and surrounding area, it is possible for retrograde infection from the nasal area to spread to the brain, causing cavernous sinus thrombosis, meningitis, or brain abscess.
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