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【文摘发布】慢性化脓性中耳炎的并发症及其处
Laryngoscope. 117(2):264-267, February 2007.
Dubey, Siba P. MS; Larawin, Varqa MMed
Abstract:
Objective: The objective of this is to determine the incidence of otogenic complications of chronic suppurative otitis media (CSOM) and its management.
Study Design: The authors conducted a retrospective study.
Methods: The study was conducted at the tertiary referral and teaching hospital. An analysis was made about the clinical and operative findings, surgical techniques and approaches, the overall management and recovery of the patients. The data were then compared with the relevant and available literature.
Results: Of the 70 cases, 47 (67%) had a single complication, of which eight (11%) had intracranial and 39 (56%) had extracranial complications. Twenty-three (33%) had two or more complications. The commonly encountered intracranial complications were otitic meningitis, lateral sinus thrombosis, and cerebellar abscess, which were seen in 13 (19%), 10 (14%), and 6 (9%) cases, respectively. Among the extracranial complications, mastoid abscess, postauricular fistula, and facial palsy were encountered in 26 (37%), 17 (24%) and 10 (14%) patients, respectively. Surgeries were the main mode of treatment for these conditions. According to severity, we found four different types of the lateral sinus involvement. Three patients with otitic facial palsy failed to regain full facial function despite surgery. A total of nine patients with the diagnosis of otitic meningitis, lateral sinus thrombosis and interhemispheric abscess expired. It constituted the mortality rate of 13% in our study.
Conclusion: CSOM complications, despite its reduced incidence, still pose a great challenge in developing countries as the disease present in the advanced stage leading to difficulty in management and consequently higher morbidity and mortality. 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 Complications of Chronic Suppurative Otitis Media and Their Management.
慢性化脓性中耳炎的并发症及其处理
Laryngoscope. 117(2):264-267, February 2007.
Dubey, Siba P. MS; Larawin, Varqa MMed
Abstract:
摘要：
Objective: The objective of this is to determine the incidence of otogenic complications of chronic suppurative otitis media (CSOM) and its management.
目的：确定慢性化脓性中耳炎（CSOM）耳源性并发症的发生率及其处理方法。
Study Design: The authors conducted a retrospective study.
研究设计：回顾性研究。
Methods: The study was conducted at the tertiary referral and teaching hospital. An analysis was made about the clinical and operative findings, surgical techniques and approaches, the overall management and recovery of the patients. The data were then compared with the relevant and available literature.
方法：对临床与手术发现、手术方法与途径及病人总的治疗与恢复情况进行分析，并和现有相关文献的资料进行了比较。
Results: Of the 70 cases, 47 (67%) had a single complication, of which eight (11%) had intracranial and 39 (56%) had extracranial complications. Twenty-three (33%) had two or more complications. The commonly encountered intracranial complications were otitic meningitis, lateral sinus thrombosis, and cerebellar abscess, which were seen in 13 (19%), 10 (14%), and 6 (9%) cases, respectively. Among the extracranial complications, mastoid abscess, postauricular fistula, and facial palsy were encountered in 26 (37%), 17 (24%) and 10 (14%) patients, respectively. Surgeries were the main mode of treatment for these conditions. According to severity, we found four different types of the lateral sinus involvement. Three patients with otitic facial palsy failed to regain full facial function despite surgery. A total of nine patients with the diagnosis of otitic meningitis, lateral sinus thrombosis and interhemispheric abscess expired. It constituted the mortality rate of 13% in our study.
结果：在70例患者中，47个（67％）有单项并发症，其中颅内并发症8个（11％）颅外并发症39个（56％）。常见的颅内并发症有耳炎性（13个，19％）、横窦血栓形成（10个，14％）和小脑脓肿（6个，9％）。颅外并发症有乳突脓肿（26个，37％）、耳廓后瘘（17个，24%）和面瘫（10个，14％）。对于这些并发症主要的治疗方式是手术。根据严重程度，我们发现有4种不同类型的横窦受累。耳炎性面瘫的患者有3人术后功能未能完全恢复。诊断为耳炎性脑膜炎、横窦血栓形成和半球间脓肿的患者共有9人死亡，占研究总人数的13％。
Conclusion: CSOM complications, despite its reduced incidence, still pose a great challenge in developing countries as the disease present in the advanced stage leading to difficulty in management and consequently higher morbidity and mortality.
结论：尽管CSOM并发症的发生率有所下降，但在发展中国家还是一大挑战，由于疾病表现为晚期、治疗困难，故发病率和死亡率较高。
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作者:admin@医学,生命科学 2010-12-12 06:42
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