Grewal D S, Bhargava P, Mistry B, Gaikwad N
Department of ENT, B.Y.L. Nair Ch. Hospital, Bombay, India.
J Laryngol Otol. 1995 Mar;109(3):232-5. doi: 10.1017/s0022215100129779.
Tuberculoma is a rare but known complication of tuberculosis. It rarely occurs in the mastoid bone. When it occurs in the middle ear cleft, it can lead to intracranial complications if there is a delay in the diagnosis and management. A rare case of tuberculosis of the middle ear cleft which presented as tuberculoma of the mastoid bone with infranuclear facial palsy is described. The tuberculoma was removed and a canal wall down tympanomastoidectomy was performed. Post-operatively the patient was kept on antituberculous therapy. The various problems encountered in the diagnosis and management of this case are discussed.
结核瘤是一种罕见但已知的结核病并发症。它很少发生在乳突骨。当中耳裂发生结核瘤时，如果诊断和治疗延迟，可能会导致颅内并发症。本文描述了一例罕见的中耳裂结核病例，该病例表现为乳突骨结核瘤并伴有核下性面瘫。切除了结核瘤并进行了开放式鼓室乳突切除术。术后患者继续接受抗结核治疗。讨论了该病例在诊断和治疗过程中遇到的各种问题。
