Results of treatment of 101 otogenic brain abscess — 56-years experience
Journal Title: Otolaryngologia Polska - Year 2011, Vol 65, Issue 2
Abstract
SUMMARY Introduction: Inflammatory process in the areas of the middle ear creates a possible danger related with the development of extratemporal and in-tratemporal complications. The most dangerous of those include meningitis and cerebral abscesses, which are stili present. Aim: The aim of the work is to present 101 patients with cerebral, in temporal lobe, and cerebellar abscesses of aura) origin throughout the period of 56 years, namely between 1953 and 2009. Materia! and method: Data concerning the patients have been obtained retrospectively on the basis of medical files. The analysis covered otola-ryngological and neurological examinations, as well as method related with diagnosing abscesses. The thesis distinguished three periods of diagnosing otogenic brain abscess, depending on available diagnostic techniques. The first period covers the years 1956-1978, when constituted the basis of diagnosis. During the second period, falling between 1979 and 1989, the diagnosis was based on computed tomography of the head, while within the third period, including the years between 1990 and 2009, diagnosis focused on nuclear magnetic resonance. During the last two years neuronavigation was utilized for puncturing abscesses. Conclusions: The survival rate equalled 65% between 1953 and 1978, reached 86% between 1979 and 1989, and 91% after the year 1990, however, it is worth mentioning that after the year 1995 there were no fatal cases.
Authors and Affiliations
Witold Szyfter, Aleksandra Kruk-Zagajewska, Łukasz Borucki
Keywords
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