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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]
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.
Brain abscess (or cerebral abscess) is an abscess within the brain tissue caused by inflammation and collection of infected material coming from local (ear infection, dental abscess, infection of paranasal sinuses, infection of the mastoid air cells of the temporal bone, epidural abscess) or remote (lung, heart, kidney etc.) infectious sources.
The maxillary sinuses, the largest of the paranasal sinuses, are under the eyes, in the maxillary bones (open in the back of the semilunar hiatus of the nose). They are innervated by the maxillary nerve (CN V2). [2] The frontal sinuses, superior to the eyes, in the frontal bone, which forms the hard part of the forehead.
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]
The frontal crest of the frontal bone ends below in a small notch which is converted into a foramen, the foramen cecum (or foramen caecum), by articulation with the ethmoid. The foramen cecum varies in size in different subjects, and is frequently impervious; when open, it transmits the emissary vein from the nose to the superior sagittal sinus.
Untreated allergies are one of the main contributing factors to the development of sinus infections. A person with a sinus infection often has nasal congestion with thick nasal secretions, fever, and cough (WebMD). Patients can be treated by “reducing the swelling or inflammation in the nasal passages and sinuses, eliminating the infection ...
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