Ohashi T, Ochi K, Ogino S, Kato I, Ogawa T, Shinagawa T
Department of Otorhinolaryngology, St. Marianna University School of Medicine, Kawasaki, Japan.
Acta Otolaryngol Suppl. 1996;522:99-103.
Osteomyelitis of the temporal bone is a rare disease. The diagnosis and treatment of atypical osteomyelitis of the temporal bone in a 54-year-old woman was reported. The left temporal bone swelling grew slowly from age 9 with only slight deep-seated pain in the temporal area. This condition was assumed to be due to fibrous dysplasia or some benign tumor. It is supposed that exploratory and inadequate mastoidectomies performed on patients age 16 to 19 years might trigger temporal bone osteomyelitis. Extensive surgical debridement followed by antibiotic therapy for 4 weeks yielded good results, and now 2 years after treatment, no signs of recurrence have been observed. The utility of the gallium scan was confirmed for evaluation of disease activity.
颞骨骨髓炎是一种罕见疾病。报告了一名54岁女性颞骨非典型骨髓炎的诊断和治疗情况。左侧颞骨肿胀自9岁起缓慢生长，颞部仅有轻微深部疼痛。这种情况被认为是由于纤维发育不良或某种良性肿瘤所致。据推测，16至19岁患者进行的探索性和不充分的乳突切除术可能引发颞骨骨髓炎。广泛的手术清创术，随后进行4周的抗生素治疗，取得了良好效果，现在治疗后2年，未观察到复发迹象。证实镓扫描在评估疾病活动方面具有实用性。
