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乳突切除术后颅底骨髓炎

Skull base osteomyelitis following a mastoidectomy.

作者信息

Kim Chang-Woo, Lee Jong Joo, Kim Hyeon-Seong, Won Joong-Yeon

机构信息

Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Hallym University, Seoul, South Korea.

出版信息

Auris Nasus Larynx. 2013 Dec;40(6):584-6. doi: 10.1016/j.anl.2012.12.002. Epub 2013 Feb 8.

DOI:10.1016/j.anl.2012.12.002
PMID:23930997
Abstract

Skull base osteomyelitis is a rare but life-threatening condition that is characterized by osteitis of the temporal bone and skull base. Although skull base osteomyelitis is recognized as a rare complication of malignant external otitis or middle ear infection, it may also occur following a mastoidectomy. We present a case of an 81-year-old woman who suffered severe otalgia with normal-looking EAC and tympanic membrane that developed six weeks following a canal wall up mastoidectomy. Otalgia was the only abnormal feature to suspect occurrence of skull base osteomyelitis.

摘要

颅底骨髓炎是一种罕见但危及生命的疾病,其特征为颞骨和颅底的骨炎。尽管颅底骨髓炎被认为是恶性外耳道炎或中耳感染的罕见并发症,但也可能在乳突切除术后发生。我们报告一例81岁女性患者,她在完壁式乳突切除术后六周出现严重耳痛,外耳道和鼓膜外观正常。耳痛是怀疑发生颅底骨髓炎的唯一异常特征。

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引用本文的文献

1
[Current diagnosis and treatment of skull base osteomyelitis].[颅底骨髓炎的当前诊断与治疗]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Jul;37(7):588-592. doi: 10.13201/j.issn.2096-7993.2023.07.015.
2
Clinical Challenges in the Diagnosis and Treatment of Temporal Bone Osteomyelitis.颞骨骨髓炎诊断与治疗中的临床挑战
Case Rep Otolaryngol. 2017;2017:4097973. doi: 10.1155/2017/4097973. Epub 2017 Apr 9.