Heitzmann P, Capelier Y, Robier A, Ployet M J, Beutter P
Service ORL, Hôpital Bretonneau, Tours.
Ann Otolaryngol Chir Cervicofac. 1990;107(1):35-41.
Otogenic thrombosis of the lateral sinus, which has become rare since the use of antibiotics, nevertheless still poses diagnostic and therapeutic problems. Based on 4 cases treated at the University Teaching Hospital in Tours since 1982, the authors study the various clinical and paraclinical elements in the diagnosis, stressing the value of CT examination using contrast. Management is then proposed in diagramatic form: the indication for surgery depending on the efficacy of antibiotic therapy and internal jugular vein ligation being required in the event of septic emboli manifest cervical signs.
耳源性横窦血栓形成自抗生素应用以来已较为少见，但仍存在诊断和治疗方面的问题。基于1982年以来在图尔大学教学医院治疗的4例病例，作者研究了诊断中的各种临床和辅助检查因素，强调了增强CT检查的价值。随后以图表形式提出了治疗方案：根据抗生素治疗的效果决定手术指征，若出现脓毒性栓子且有明显的颈部体征，则需要结扎颈内静脉。
