Pansinusitis, complicated by extensive osteonecrosis of the upper jaw and secondary rhinogenic intracerebral abscess of the right fronto-parietal region of the brain after a COVID-19 (clinical case)
https://doi.org/10.33667/2078-5631-2022-34-31-36
Abstract
The number of complications of new coronavirus infection (COVID-19) has been growing in clinics of maxillofacial surgery and otorhinolaryngology in the past two years. Among them, lesions of the jaw bones, nasal bones and paranasal sinuses are predominate. As a result of the studies, it was found that with coronavirus infection, multiple microvascular and macrovascular disorders occur, resulting in necrosis of the jaws and paranasal sinuses, often leading to life-threatening conditions, due to the anatomical proximity of brain structures. The article presents a cli-nical observation of a patient with extensive osteonecrosis of the upper jaw, which developed against the background of postcovid purulent pasinusitis, complicated by a secondary rhinogenic intracerebral abscess of the right fronto-parietal region of the brain. The provoking factors, the most characteristic symptoms, the X-ray picture at different stages of the disease, the tactics of treating such complications are considered.
About the Authors
V. V. Podolsky
Volgograd State Medical University
Russian Federation
Russian Federation
PodolskyV.V., Candidate of Medical Sciences, Associate Professor of the Department of Surgical Dentistry and Maxillofacial Surgery
Volgograd
E. N. Yarygina
Volgograd State Medical University
Russian Federation
Russian Federation
Yarygina E.N., Candidate of Medical Sciences, Associate Professor of the Department of Surgical Dentistry and Maxillofacial Surgery
Volgograd
M. V. Kirpichnikov
Volgograd State Medical University
Russian Federation
Russian Federation
Kirpichnikov M.V., Candidate of Medical Sciences, Associate Professor of the Department of Surgical Dentistry and Maxillofacial Surgery
Volgograd
I. V. Khimich
Volgograd State Medical University
Russian Federation
Russian Federation
Khimich I.V., Candidate of Medical Sciences, Associate Professor of the Department of Surgical Dentistry and Maxillofacial Surgery
Volgograd
A. S. Serbin
Volgograd State Medical University
Russian Federation
Russian Federation
Serbin A.S., Candidate of Medical Sciences, Associate Professor of the Department of Surgical Dentistry and Maxillofacial Surgery
Volgograd
Kh. Kh. Mukhaev
Volgograd State Medical University
Russian Federation
Russian Federation
Mukhaev Kh.Kh., Candidate of Medical Sciences, Associate Professor of the Department of Surgical Dentistry and Maxillofacial Surgery
Volgograd
E. V. Efimova
Volgograd State Medical University
Russian Federation
Russian Federation
Efimova E.V., Candidate of Medical Sciences, Associate Professor of the Department of Surgical Dentistry and Maxillofacial Surgery
Volgograd
K. A. Aleshanov
Мedical dental center on Zelenogradskaya Co.
Russian Federation
Russian Federation
Aleshanov K.A., Candidate of Medical Sciences, Doctor of Surgical Dentistry
Moscov
References
1. Kirpichnikov M.V., Podolsky V.V., Yarygina E.N., Serbin A.S., Aleshanov K.A. Care and management of bisphosphonate-associated osteonecrosis of jaw in patient with pathological fracture of mandible: case study. Medical alphabet. 2019;3(23):34-36. (In Russ.) https://doi.org/10.33667/2078-5631-2019-3-23(398)-34-36.
2. Fomichev E.V., Kirpichnikov M.V., Podolsky V.V. The bisphosphonate-associated osteonecrosis of the jaw in the patient with pathological fracture of the mandible. Volgograd Journal of Medical Research. 2018; № 3 (59): 43-45. (In Russ.)
3. Fomichev E.V., Kirpichnikov M.V., Yarygina E.N., Podolsky V.V., Nesterov A.A. Bisphosphonate-related osteonecrosis of the jaw. Journal of VolgSMU. 2019; №1(69): 3-8. (In Russ.)
4. Fomichev E.V., Kirpichnikov M.V., Yarygina E.N. et al. Peculiarities of etiopathogenesis and treatment of sluggish purulent-inflammatory diseases of the maxillofacial region in immunocompromised patients. Lekarstvennyj vestnik. 2019. V. 13. No. 3 (75): 9-13. (In Russ.)
5. Sirak S.V., Sletov A.A., Mozheyko R.A. et al. Clinic-and-diagnistic effects of the direct angiography at medicamentous osteonecroses of maxillary bones // International Journal of Advanced Biotechnology and Research. – 2017. Т. 8. № 2. С. 526–532.
6. Antonova I.N., Grygoriants A.P., Kalakutskiy N.V., Petropavlovskaya O.Yu., Grygoriants A.A., Samodurov A.S. Potential COVID-19 complications in oral cavity and maxillofacial area. Clinical Dentistry (Russia). 2022; 25 (2): 94-99 (In Russ.). DOI: 10.37988/1811-153X_2022_2_94.
7. Баракат М.Ф., Мельцер Р.И. Асептический некроз костей как осложнение ковидной инфекции // Sciences of Europe. – 2022. №89-1. С. 23–25. Barakat M.F., Meitzer R.I. Aseptic bone necrosis as a complication of covid infection. Sciences of Europe. 2022; №89-1: 23-25. (In Russ.)
8. Baranova I.B., Yaremenko A.I., Zubareva A.A., Karpischenko S.A., Popova M.O., Kurus A.A., Portnov G.V., Pinegina O.N., Lukina O.V., Malyarevskaya M.V., Kalakuckiy I.N., Ilyukhina M.O., Klimko N.N. Mucormycosis of the bones of the facial skull, nasal cavity and par anasal sinuses in patients with COVID19. Clinical Microbiology and Antimicrobial Chemotherapy. 2021; 23(4):347-358. (In Russ.)
9. Belyakov N.A., Simakina O.E., Trofimova T.N. Nature and consequences of post-covid-19 syndrome. Vestnik NovSU. Issue: Medical Sciences. 2022. №1(126). P. 25–31. (In Russ.) DOI: https://doi.org/10.34680/2076-8052.2022.1(126).25-31.
10. Eremin D.A., Khelminskaya N.M., Kravets V.I., Posadskaya A.V., Pletayanova I.V., Kravets A.V., Faustova E.E., Nikolskaya I.A. Risks and possible complications in maxillofacial surgery patients during or after coronavirus infection. Medical alphabet. 2022; (2): 67-70. (In Russ.) https://doi.org/10.33667/2078-5631-2022-2-67-70.
11. Ubaidullaev M.B., Suleimanov A.M., Agaidarova G.M. Postcovid syndrome. Cases from practice. Chronic osteomyelitis of the upper jaw. Medicine and innovations. 2022; 1(4): 333-336. (In Russ.)
12. Ulyanova O.V., Ermolenko N.A., Dudina A.A., Belinskaya V.V., Golovina N.P., Artyomov S.V., Likhacheva-Khachapuridze I.Ch. Neurological complications associated with novel coronavirus infection U07.1 COVID-19. Saratov Journal of Medical Scientific Research 2022; 18 (1): 150-155. (In Russ.)
13. Khaydarova F.A., Alieva A.V., Kamalov T.T., Talenova V.A. Condition after Thrombosis of the Cavernous Sinus, Complicated by Osteomyelitis of the Upper Jaw after a Coronavirus Infection in a Patient With Type 2 Diabetes Mellitus. Juvenis scientia. 2021;7(3):28-35. (In Russ.)
14. Khelminskaya N.M., Posadskaya A.V., Kravets V.I., Pavlova I.A. A сomplication of COVID-19 in the maxillofacial region. Сlinical cases // Medical Journal of the Russian Federation. 2021. Vol. 27. N. 3. P. 313-320. (In Russ.) doi: 10.17816/0869-2106-2021-27-3-313-320.
15. Ashour M.M. Imaging spectrum of acute invasive fungal rhinoorbital-cerebral sinusitis in COVID-19 patients: A case series and a review of literature / M.M. Ashour, T.T. Abdelaziz, D.M. Ashour [et al.] // J. Neuroradiol. – 2021, 48 (5): 319-324.
16. El-Kholy N.A. Invasive fungal sinusitis in post COVID-19 patients: A new clinical entity / N.A. El-Kholy, A.M.A. El-Fattah, Y.W. Khafagy // Laryngoscope. – 2021, 131 (12): 2652-2658.
17. Shires C.B. Unusual cause of acute sinusitis and orbital abscess in COVID-19 positive patient: Case report / C.B. Shires, T. Klug, S. Dryden, J. Ford // Int. J. Surg. Case Rep. – 2021, 79: 164-168.
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For citations:
Podolsky V.V., Yarygina E.N., Kirpichnikov M.V., Khimich I.V., Serbin A.S., Mukhaev Kh.Kh., Efimova E.V., Aleshanov K.A. Pansinusitis, complicated by extensive osteonecrosis of the upper jaw and secondary rhinogenic intracerebral abscess of the right fronto-parietal region of the brain after a COVID-19 (clinical case). Medical alphabet. 2022;(34):31-36. (In Russ.) https://doi.org/10.33667/2078-5631-2022-34-31-36
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