Viswanatha Borlingegowda
Department of ENT, Victoria Hospital and Bangalore Medical College and Research Institute, Bangalore, India.
Ear Nose Throat J. 2011 Jun;90(6):E28-33. doi: 10.1177/014556131109000614.
A retrospective study was undertaken to review the clinical presentation, evaluation, management, and outcome of otogenic lateral sinus thrombosis (LST) in children. All pediatric patients with LST seen in our department between 1999 and 2007 were included; there were 9 cases involving 6 boys and 3 girls whose ages ranged from 8 to 12 years. They had all been treated with antibiotics elsewhere prior to admission, and the duration of symptoms before admission ranged from 5 to 18 days. The most common presenting symptoms were ear discharge, headache, otalgia, and fever. Radiologic evaluation included computed tomography and magnetic resonance imaging. All patients underwent radical mastoidectomy with incision of the lateral sinus and removal of its content. There were no deaths. Pseudomonas and Proteus spp were the most commonly identified organisms. Otogenic LST still poses a serious threat that warrants immediate attention and care. It is often associated with other intracranial complications, such as cerebellar abscess. Computed tomography and magnetic resonance imaging play an important role in the management of this disease. Early and aggressive surgical intervention of this otogenic complication can potentially minimize mortality.
开展了一项回顾性研究，以评估儿童耳源性外侧窦血栓形成（LST）的临床表现、评估、治疗及预后。纳入了1999年至2007年间在我科就诊的所有LST患儿；共有9例，其中6例男孩，3例女孩，年龄在8至12岁之间。入院前他们均在其他地方接受过抗生素治疗，入院前症状持续时间为5至18天。最常见的症状为耳漏、头痛、耳痛和发热。影像学评估包括计算机断层扫描和磁共振成像。所有患者均接受了根治性乳突切除术，切开外侧窦并清除其内容物。无死亡病例。铜绿假单胞菌和变形杆菌属是最常见的病原体。耳源性LST仍然构成严重威胁，值得立即关注和治疗。它常与其他颅内并发症相关，如小脑脓肿。计算机断层扫描和磁共振成像在该疾病的治疗中发挥重要作用。对这种耳源性并发症进行早期积极的手术干预可能会降低死亡率。
