Bizakis J G, Velegrakis G A, Papadakis C E, Karampekios S K, Helidonis E S
Department of Otolaryngology, University of Crete School of Medicine, Heraklion, Greece.
Int J Pediatr Otorhinolaryngol. 1998 Oct 2;45(2):163-6. doi: 10.1016/s0165-5876(98)00024-x.
Acute otitis media with complications is a persistent problem in the modern antibiotic era with a relatively high mortality rate. Acute mastoiditis is a serious complication of acute otitis media with potentially grave consequences and the epidural abscess constitutes the commonest of all intracranial complications, arising from middle ear infections. We report two cases of children with acute mastoiditis without evidence of intracranial complication or subperiosteal abscess, in whom the early evaluation with computed tomography (CT) disclosed an unsuspected epidural abscess. Therefore, we stress the use of CT as a rule of thumb for every child with acute mastoiditis.
在现代抗生素时代，伴有并发症的急性中耳炎仍然是一个持续存在的问题，死亡率相对较高。急性乳突炎是急性中耳炎的一种严重并发症，可能产生严重后果，而硬膜外脓肿是所有颅内并发症中最常见的一种，由中耳感染引起。我们报告两例急性乳突炎患儿，无颅内并发症或骨膜下脓肿的证据，其计算机断层扫描（CT）早期评估发现了意外的硬膜外脓肿。因此，我们强调，对于每例急性乳突炎患儿，应将CT作为常规检查手段。
