Abdelaziz Ahmed Abdelrahman, Sadek Ahmed Adel, Talaat Moustafa
Department of Otorhinolaryngology, Minia University Hospital, El Minia, Egypt.
Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 2):1374-1376. doi: 10.1007/s12070-018-1432-2. Epub 2018 Jun 24.
Post auricular swelling with mastoid bone involvement most commonly occurs as a cranial complication of chronic or acute suppurative otitis media. Aim of this study, to detect etiology of postauricular swelling with mastoid bone involvement. This is a retrospective study which was done on all patients whom underwent mastoidectomy for post auricular swelling with mastoid bone involved in El Minia University Hospital from January 2014 to June 2017. A total of 49 patients were identified in this study, 23 males and 26 females, their ages ranged 5-28 years old with a mean of 25.8 years old. Group A: these were 45 patients with a history of otorrhea (chronic suppurative otitis media), of 3 months to 4 years duration. Group B: these were four patients without any history of otorrhea. Two patients diagnosed as acute otitis media, one patient diagnosed as Langerhans cell histiocytosis and one patient diagnosed as fungal mastoiditis. Chronic suppurative otitis media is the most common causes of postauricular swelling. Langerhans cell histiocytosis of the temporal bone and fungal mastoiditis are considered a rare presentation of postauricular swelling.
耳后肿胀伴乳突骨受累最常见于慢性或急性化脓性中耳炎的颅内并发症。本研究的目的是检测耳后肿胀伴乳突骨受累的病因。这是一项回顾性研究，对2014年1月至2017年6月在明亚大学医院因耳后肿胀伴乳突骨受累而接受乳突切除术的所有患者进行。本研究共纳入49例患者，其中男性23例，女性26例，年龄5 - 28岁，平均25.8岁。A组：这45例患者有耳漏病史（慢性化脓性中耳炎），病程3个月至4年。B组：这4例患者无任何耳漏病史。2例诊断为急性中耳炎，1例诊断为朗格汉斯细胞组织细胞增多症，1例诊断为真菌性乳突炎。慢性化脓性中耳炎是耳后肿胀最常见的原因。颞骨朗格汉斯细胞组织细胞增多症和真菌性乳突炎被认为是耳后肿胀的罕见表现。
