Chronic otitis media as an introduction to intracranial otogenic complications
Journal Title: Otolaryngologia Polska - Year 2008, Vol 62, Issue 1
Abstract
Introduction. Otogenic intracranial complications are rare. Misdiagnosed and untreated can be dangerous for health and life. They should be always kept in mind. Aim: We discuss patients in whom defects of skull base were observed during operation. These defects can lead to serious intracranial complications. Material and methods. We analyse patients with chronic otitis media operated in our department between 2004–2006. 250 operations on ears were performed in that period of time. We discuss patients with intracranial otogenic complications and patients in whom defects of skull base were noticed by chance during operations. Results. Defects of skull base were observed in 24 cases. Intracranial complications were in 3 patients. 1 patiens died because of abscess of cerebellum, others were treated with good distant effect. Used methods of reconstruction were effective, we observed no discharge of cerebro-spinal fluid and no other intracranial complications. Conclusions. It exists group of patients with chronic otitis media that have asymptomastic defects of cranial fossa. These defects can be responsible for intracranial complications. MRI and TC are very important in preoperative diagnostics.
Authors and Affiliations
Maciej Wiatr, Jacek Składzień, Jerzy Tomik
Keywords
Related Articles
- EP ID EP51402
- DOI -
- Views 107
- Downloads 0
Otorynolarngologiczne dokonania Wiadyslawa Orlowskiego (1835-1889)
SUMMARY The professional and scientific activities of Wtadystaw Orlowski (1835-1889), an eminent Varsovian surgeon are presented widely. Orlowski was a versatile surgeon. Ortowski's successful surgical treatment of many...
Otolaryngological manifestations of leishmaniosis
Travel to developing countries is associated with possibility to acquire different, also parasitic, diseases which have become a diagnostic and therapeutic problem. The ENT specialist is one of the medical officers who m...
Analysis of difficulties occurring during the early auditory screening in children
Introduction: It is assumed that the critical period for diagnosis of hearing disorders is the baby’s first three months of life and that appropriate course and implementation of treatment and/or rehabilitation should be...
Consenting Practice of ENT Trainees: To What Extent Is Trainee Involvement Disclosed?
Aim – To assess to what extent ENT trainees disclose their involvement in operations to their patients when obtaining consent.Background – It is not clear how the trainees are conducting the consenting process, although...
Zakażenia Staphylococcus aureus (MRSA i MSSA) u chorych operowanych z powodu nowotworów głowy i szyi
Introduction. The MRSA and MSSA infections are essential clinical problem. Both of the strains have high virulence (as a result of enzyme and toxin production), what disturbs wound healing as well as a general condition...