Department of Pediatrics and Otorhinolaryngology, National Yang-Ming University Hospital, Yilan, Taiwan; Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
Pediatr Neonatol. 2013 Oct;54(5):335-8. doi: 10.1016/j.pedneo.2013.03.005. Epub 2013 Apr 18.
We report two children with otitis media who developed facial palsy despite prompt antibiotic therapy. Brain images revealed silent mastoiditis. Persistent otorrhea may be a cautious sign of medical treatment failure or complication of acute otitis media, including mastoiditis or facial palsy. Delayed identification of coexisting mastoiditis or hesitation over surgical intervention may lead to treatment failure and complications. Adequate intravenous antibiotics and myringotomy provide reasonable and appropriate management to prevent permanent sequelae.
我们报告了两例中耳炎患儿，尽管及时使用了抗生素治疗，但仍出现面瘫。脑部影像显示存在无症状性乳突炎。持续性耳漏可能是急性中耳炎治疗失败或并发症（包括乳突炎或面瘫）的一个谨慎信号。延迟发现并存的乳突炎或手术干预犹豫不决可能导致治疗失败和并发症。充分的静脉内抗生素和鼓膜切开术提供了合理和适当的管理，以预防永久性后遗症。
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