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VOLUME 2 , ISSUE 1 ( January-March, 2019 ) > List of Articles


Experience in managing two challenging cases from paediatric age group

KD Kallyan

Keywords : Mid-facial, nasal abscess, cavernous sinus, paediatric, danger triangle, intracranial, complication

Citation Information : Kallyan K. Experience in managing two challenging cases from paediatric age group. 2019; 2 (1):39-42.

DOI: 10.5005/jp-journals-10082-02108

License: CC BY-NC 4.0

Published Online: 01-10-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Mid-facial infection carries potential dangers of developing severe life-threatening intracranial complications. Early intervention and the awareness of possible complications essentially can help bring about a better outcome. Presented here, two paediatric cases of nasal abscesses, who developed such serious intracranial complications as meningitis, cavernous sinus thrombosis and brain infarction, but ultimately survived the crisis with appropriate intervening measures comprising immediate surgical intervention, efficient intensive care and long-term antibiotics. The cases were studied to ascertain a clinical course and outcome in the light of experience at a district hospital for further clinical application. No reconstructive surgery was performed on these patients but in short-term follow-up, no obvious facial developmental problem has been detected yet.

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