Clinical analysis of otogenic intracranial complications
10.3321/j.issn:1673-0860.2008.11.001
- VernacularTitle:耳源性颅内并发症临床特点分析
- Author:
Hua YANG
1
;
Xiao-Wei CHEN
;
Zhi-Qiang GAO
;
Dao-Feng NI
;
Hong JIANG
;
Chun-Xiao XU
;
Zheng-Yin LIU
;
Bao-Tong ZHOU
;
Da-Hai YANG
Author Information
1. 中国医学科学院中国协和医科大学北京协和医院
- Keywords:
Otitis media;
Postoperative complications;
Brain abscess
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2008;43(11):801-805
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical features and treatment protocols of otogenic intracranial complications in Peking Union Medical College ospital. Methods Retrospective study of 14 patients (10 males and 4 females, aged between 12 -62 years, mean age 32. 1 years) hospitalized from 1982 - 2006. Twelve cases were otitis media (OM) with cholesteatoma, the other 2 cases were non-cholesteatomatons OM. All the otogenic intracranial complications located at the same sides as otologic disorders. Brain abscess was the most common type of orogenic complications and Proteus was the most common microorganism detected. Suppurative ear discharge, headache, high fever and nausea with vomiting were the most common clinical manifestations with very high incidences. All the patients received combined protocols of mastoid surgeries and antibiotics treatment. Results All the 14 patients recovered clinically. For patients discharged before 1987, there were 4 patients followed up for 22. 5 - 24. 4 years with a mean time of 23. 8 without recurrence, 1 patient died of cardiovascular disease 19. 2 years later after discharge, 4 patients lost follow-up. For the 5 patients discharged after 1997 ,brain abscess recurred in one patient with pseudo-recovery after 24 days and he fitlly recovered after re-hospitalization and treatment. All the five patients were followed up for 1.5 years to 10. 6 years with a mean time of 6. 5 years without recurrence. Conclusions Youngsters and males seemed to be more vulnerable. Brain abscess was the most common intracranial complication and Proteus was the most common pyogenic microorganism. Combination of mastoid surgery and antibiotics were essential for effectively controlling the intracranial complications and improvingthe recovery. CT and MRI were essential for correct diagnosis betimes and MRI seemed to have a better performance.
