Jinesh Shah, Jay Kodinariya, Tapan Nagpal, Mufeed CM


Osteomyelitis is inflammation of bone or bone marrow, usually due to infection. Most commonly affected bones are generally long bones (Tibia, Fibula, Femur).It can also occur in Pelvis and vertebra. Osteomyelitis of skull bones is rare clinical presentation. It usually occurs due to trauma in children and due to sinusitis in adults. It usually results as complication of rhinosinusitis or by retrograde thrombophlebitis. Early diagnosis and treatment is necessary otherwise it may produce intracranial and intraorbital complications. Brain abscess is most common complication. It may be associated with subperiosteal abscess. Patient may complain of severe headache, nasal discharge, vomiting, vertigo, fever etc. Radiological investigations show reduction in bone density and islands of normal bone. In advanced stages there is erosion of the frontal bone. Here we are presenting two cases of frontal bone osteomyelitis as a complication of rhinosinusitis.


Osteomyelitis, frontal bone, pott’s puffy tumour, rhinosinusitis

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