Araújo Patrícia de Pinho Marques, Matos Janini Oliveira, Madeira Felipe Barbosa, Araujo Anderson de S, Arruda Andréia Migueres, Tomita Shiro
Federal University of Rio de Janeiro-UFRJ.
Braz J Otorhinolaryngol. 2008 Jul-Aug;74(4):617-20. doi: 10.1016/s1808-8694(15)30613-3.
Acute atypical mastoiditis, with temporal and/or facial edema, is called squamozygomatic mastoiditis. There are only a few reports of this occurrence in the literature, which occurs because of an inflammatory process spread to the zygommatic apophysis, when mastoid pneumatization reaches the zygoma or the squamous portion of the temporal bone. Diagnosis is made based on clinical history, physical exam and mastoid CT scan. Treatment is carried out with antibiotic therapy and surgery.
To present a case of squamozygomatic mastoiditis and review the literature.
Report of a case treated in our hospital during the year of 2003 and literature review through the Internet, we also reviewed otolaryngology books from known authors.
Squamozygomatic mastoiditis is an atypical mastoiditis in which the inflammatory process spreads to the zygomatic apophysis. The infection reaches the temporal bone squamous portion and makes a fistula between this portion and the temporal muscle, shifting the pinna of the ear downwards and it may reach the face, eyes and eyelids. Diagnosis is carried out by clinical history, physical examination and mastoid CT Scan. Treatment is surgical, associated with antibiotic therapy.
伴有颞部和/或面部水肿的急性非典型乳突炎称为颧颞部乳突炎。文献中关于这种情况的报道很少，它是由于当乳突气化到达颧骨或颞骨鳞部时，炎症过程蔓延至颧突而发生的。诊断基于临床病史、体格检查和乳突CT扫描。治疗采用抗生素治疗和手术。
介绍一例颧颞部乳突炎病例并复习相关文献。
报告我院2003年治疗的一例病例，并通过互联网进行文献复习，我们还查阅了知名作者的耳鼻喉科书籍。
颧颞部乳突炎是一种非典型乳突炎，炎症过程蔓延至颧突。感染到达颞骨鳞部，并在该部位与颞肌之间形成瘘管，使耳廓向下移位，且可能累及面部、眼睛和眼睑。通过临床病史、体格检查和乳突CT扫描进行诊断。治疗为手术治疗，并联合抗生素治疗。
