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CRANIAL AND INTRACRANIAL COMPLICATIONS OF ACUTE FRONTAL SINUSITIS

PAUL C. BUCY, M.D.; W. TRACY HAVERFIELD, M.D.
JAMA. 1940;115(12):983-991. doi:10.1001/jama.1940.02810380013003.
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The most common complications of acute frontal sinusitis, particularly that which follows swimming, are abscess of the frontal lobe and osteomyelitis of the frontal bone.1 Within recent years the rhinologists and neurosurgeons have adopted more or less successful methods of dealing with these complications. Nevertheless the problems presented by these complications can by no means be regarded as settled. The most crying needs are for the adoption, if possible, of prophylactic measures that will limit the infection to the sinus and prevent the development of these and similar complications, and for the dissemination of knowledge regarding this condition beyond the confines of these two most interested groups of specialists to the entire medical profession.

As a basis for this discussion we have chosen three cases of fulminating frontal sinusitis complicated by cranial or intracranial infections, and one case of osteomyelitis of the frontal bone and intracerebral abscess of different

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