Zalzal G H
Department of Otolaryngology, Children's Hospital National Medical Center, Washington, DC 20010.
Int J Pediatr Otorhinolaryngol. 1987 Nov;14(1):31-9. doi: 10.1016/0165-5876(87)90047-4.
Congenital aural atresia occurs approximately once in every 20,000 live births, although the incidence of otitis media in aural atretic children should not differ from the rest of the population, detection is difficult. Unless severe, the infection usually goes unnoticed, especially with the use of antibiotics. A two-year-old male with congenital aural atresia presented with fever and facial nerve paresis. As his illness progressed, he developed mastoiditis with subperiosteal abscess and sigmoid sinus thrombosis. Literature review showed this to be the first reported case of sigmoid sinus thrombosis in congenital aural atresia. Diagnosis and management are presented.
先天性耳道闭锁在每20000例活产中大约出现1例。虽然耳道闭锁儿童的中耳炎发病率与其他人群并无差异，但难以检测到。除非病情严重，感染通常不会被注意到，尤其是在使用抗生素的情况下。一名患有先天性耳道闭锁的两岁男性出现发热和面神经麻痹。随着病情进展，他发展为伴有骨膜下脓肿和乙状窦血栓形成的乳突炎。文献回顾显示，这是先天性耳道闭锁中首例报告的乙状窦血栓形成病例。现介绍其诊断和治疗情况。
