Management of Otogenic Brain Abscess Using the Transmastoid Approach
نویسندگان
چکیده
Despite significant advances in the treatment of all forms of chronic otitis media (COM), complications still can and do occur, with intracranial complications representing the most life-threatening cases, often requiring immediate therapeutic intervention. Herein, we present a rare case of rapidly progressing facial paralysis with concomitant severe headache and ipsilateral hearing loss secondary to an otogenic brain abscess, treated with the transmastoid approach, drainage, and facial nerve decompression.
منابع مشابه
Otogenic brain abscess: management by otologist.
INTRODUCTION Fifty per cent of brain abscesses in adults and 25 per cent of those in children are otogenic in origin. The current neurosurgical options are to drain the abscess repeatedly through burr holes or to excise it completely with the capsule. We successfully managed 10 cases of brain abscess by draining through the transmastoid route. The technique and its advantages are discussed. M...
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Results: Main complaints were: severe headache, vomitting, somnolens, imbalance and deafness. Main findings were bilateral or unilateral tempanic membrane perforation, foul smelly discharge, granulation tissue, retraction pocket, hearing loss, nystagmus, and hemipareses. Four had temporal lobe abscess, one cerebellar and one parietal. Their abscesses were evacuated through transcranial (4) or t...
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The treatment of otogenic brain abscess initially involves excision or aspiration of the abscess through a temporal or sub-occipital route depending on its location. This is followed by a mastoidectomy by the ENT surgeon to eradicate the primary source of infection. During the last three years, we have approached such lesions through a mastoidectomy followed by excision of the abscess through t...
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Intracranial complications secondary to ear infections is an established clinical condition. The proximity of the brain compartments to the ear increases the chances of infections being percolated to central nervous system. Early clinical and laboratory diagnosis of such infections and better patient management strategies are required to minimize the intracranial and extracranial complications....
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