Key points
- A quarter of children with sinogenic intracranial abscess experience
neurological disability and up to a half of patients require revision
surgery.
- Initial combined ENT and neurosurgical procedures were performed in
41% of patients, while 38% underwent sinus drainage only.
- 9/15 children were successfully managed with sinus drainage only
without the need of intracranial interventions.
- Combined ENT and neurosurgical approach was not found to be associated
with the reduced rates of revision surgery, length of hospital stay or
neurological disability.
- The size of intracranial abscess (≥10mm) was associated with a
significantly increased likelihood of revision surgery.