Department of Otorhinolaryngology Head and Neck Surgery, Pusan National University, Busan, Korea.
Am J Otolaryngol. 2011 Sep-Oct;32(5):445-7. doi: 10.1016/j.amjoto.2010.07.018. Epub 2010 Oct 2.
Petrous apicitis has traditionally been treated with aggressive surgical methods. However, recent reports describe good results with more conservative medical treatment and minimal surgical intervention. We report a case of petrous apicitis presenting as the Gradenigo syndrome treated by ventilation tube insertion. We recommend aggressive surgical intervention for patients who failed to respond to conservative therapy including ventilation tube insertion.
岩尖炎传统上采用积极的手术方法治疗。然而,最近的报告描述了采用更保守的药物治疗和最小程度的手术干预也能取得良好的效果。我们报告了一例表现为 Gradenigo 综合征的岩尖炎病例,采用通气管插入治疗。我们建议对保守治疗(包括通气管插入)无效的患者进行积极的手术干预。