Hoyt D J, Fisher S R
Department of Surgery, Duke University Medical Center, Durham, NC 27710.
Laryngoscope. 1991 Jan;101(1 Pt 1):20-4. doi: 10.1288/00005537-199101000-00004.
From 1979 to 1988, 17 patients presented to Duke University Medical Center for treatment of subdural empyema. Empyemas were caused by sinusitis in 53% of the patients and by otitis media in 12%. None of those with otologic causes required mastoid drainage, while all patients with sinus infections required sinus drainage. External frontoethmoidectomies were associated with a lower incidence of frontoethmoid re-exploration (P = 0.048), and antrostomies with a lower incidence of maxillary re-exploration (P = 0.111), than were more limited drainage procedures. Sinus drainage performed simultaneously with neurosurgical drainage reduced the incidence of sinus re-exploration (P = 0.167), neurosurgical reexploration (P = 0.048), and length of hospitalization (P = 0.020).
1979年至1988年期间，17名患者前往杜克大学医学中心接受硬膜下积脓的治疗。53%的患者积脓由鼻窦炎引起，12%由中耳炎引起。所有耳部病因患者均无需进行乳突引流，而所有鼻窦感染患者均需进行鼻窦引流。与更有限的引流手术相比，外鼻额筛窦切除术与额筛窦再次探查发生率较低相关（P = 0.048），上颌窦造口术与上颌窦再次探查发生率较低相关（P = 0.111）。与神经外科引流同时进行的鼻窦引流降低了鼻窦再次探查发生率（P = 0.167）、神经外科再次探查发生率（P = 0.048）以及住院时间（P = 0.020）。
