Sahoo Anjan-Kumar, Preetam Chappity, Samal Dillip-Kumar, Sarkar Sourav
Department of ENT and Head and Neck Surgery, All India Institute of Medical Science, Bhubaneswar, Odisha, India.
Iran J Otorhinolaryngol. 2017 May;29(92):161-163.
Citelli's abscess is an extratemporal complication of otitis media. It occurs when pus from the mastoid tip trickles down along the posterior belly of the digastric muscle to the occipital and cervical region. It is a very unusual presenting complication of chronic otitis media with no available data in the until now.
A 10-year-old female was presented to our outpatient department with a 1 month history of hi-grade fever and headache and pain around the left half of the face. During physical examination a huge swelling present in the left temporal and occipital region was observed. The swelling crossed the midline, was tender to touch, and was fluctuant. During otological examination left sided chronic suppurative otitis media, of the attico-antral type with cholesteatoma, and a profuse foul smelling purulent discharge was observed. After complete investigation, drainage of the patient's abscess was performed under general anesthesia. A postaural incision was administered and around 500 ml of pus drained out. Immediately after the operation, the patient showed signs of recovery. After 3 weeks of parenteral antibiotic therapy, the primary focus was debrided by performing left modified radical mastoidectomy.
Citelli's abscess is a rare complication of otitis media. Urgent radiology, followed by drainage of pus is performed to reduce pain and further progression of the infective process. The primary ear pathology is managed surgically after adequate treatment with intra venous antibiotics.
西泰利脓肿是中耳炎的颞外并发症。当乳突尖的脓液沿二腹肌后腹向下流至枕部和颈部区域时就会发生。它是慢性中耳炎一种非常罕见的并发症，到目前为止尚无相关数据。
一名10岁女性因高热、头痛和左脸半部周围疼痛1个月就诊于我们的门诊。体格检查时，发现左颞部和枕部区域有巨大肿胀。肿胀越过中线，触痛，有波动感。耳科检查发现左侧慢性化脓性中耳炎，为上鼓室-鼓窦型伴胆脂瘤，并有大量恶臭脓性分泌物。经过全面检查后，在全身麻醉下对患者的脓肿进行了引流。做了耳后切口，引出约500毫升脓液。手术后患者立即出现恢复迹象。经过3周的静脉抗生素治疗后，通过实施左侧改良乳突根治术对原发病灶进行了清创。
西泰利脓肿是中耳炎的一种罕见并发症。应紧急进行影像学检查，随后进行脓液引流，以减轻疼痛并防止感染过程进一步发展。在用静脉抗生素进行充分治疗后，通过手术处理耳部原发病变。
