Kitsko Dennis J, Dohar Joseph E
Division of Pediatric Otolaryngology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, 3705 Fifth Avenue, Pittsburgh, PA 15213, USA.
Curr Allergy Asthma Rep. 2007 Nov;7(6):444-50. doi: 10.1007/s11882-007-0068-1.
Acute otitis media is one of the most common diagnoses made in children in the United States. Intracranial and extracranial (intratemporal) complications have greatly decreased in the antibiotic era, but still remain a challenge when they arise. This article addresses two intratemporal complications with significant associated morbidity: facial nerve paralysis/paresis, and labyrinthitis. Epidemiology, pathology, clinical diagnosis, and treatment options are discussed, focusing on an evidence-based approach to diagnosis and management. In addition, the future of treatment and current questions regarding otitis media are briefly discussed.
急性中耳炎是美国儿童中最常见的诊断疾病之一。在抗生素时代，颅内和颅外（颞骨内）并发症已大幅减少，但一旦发生仍具挑战性。本文探讨两种伴有显著相关发病率的颞骨内并发症：面神经麻痹/轻瘫和迷路炎。讨论了其流行病学、病理学、临床诊断及治疗选择，重点是基于循证的诊断和管理方法。此外，还简要讨论了中耳炎治疗的未来及当前存在的问题。
