[FEATURES OF OTOGENIC INTRACRANIAL COMPLICATIONS AT THE PRESENT STAGE].

Publisher: Izdatelstvo Meditsina Country of Publication: Russia (Federation) NLM ID: 0411377 Publication Model: Print Cited Medium: Print ISSN: 0042-4625 (Print) Linking ISSN: 00424625 NLM ISO Abbreviation: Vestn Khir Im I I Grek Subsets: MEDLINE

Publication: St Petersburg : Izdatelstvo Meditsina
Original Publication: Leningrad, Meditsina [etc.]

Craniotomy*/adverse effects ; Craniotomy*/methods ; Otitis Media, Suppurative*/complications ; Otitis Media, Suppurative*/diagnosis ; Otitis Media, Suppurative*/epidemiology ; Otitis Media, Suppurative*/microbiology ; Otitis Media, Suppurative*/surgery ; Otologic Surgical Procedures*/adverse effects ; Otologic Surgical Procedures*/methods; Anti-Bacterial Agents/*therapeutic use ; Brain Abscess/*surgery ; Meningoencephalitis/*surgery; Adult ; Brain Abscess/diagnosis ; Brain Abscess/epidemiology ; Brain Abscess/etiology ; Chronic Disease ; Combined Modality Therapy ; Female ; Health Services Needs and Demand ; Humans ; Male ; Meningoencephalitis/diagnosis ; Meningoencephalitis/epidemiology ; Meningoencephalitis/etiology ; Microbial Sensitivity Tests ; Neuronavigation/methods ; Russia/epidemiology ; Tomography, X-Ray Computed ; Treatment Outcome

A retrospective analysis of treatment was made in 127 adult patients with acute and chronic otitis media complicated by suppurative-inflammatory pathology of the brain. Purulent meningitis was revealed in 52 (40.9%) of hospitalized patients. Meningoencephalitis was often diagnosed in the cases of acute otitis media (15.4%) and in cases of chronic otitis (22.7%). The otogenic brain abscess was detected in 13.5% of otitis media cases and it was noted to be twice frequent (33.3%) in cases of purulent otitis media. The patients 124 (97.6%) have been operated. An extended mastoidotomy and antromastoidotomy were performed in the acute purulent otitis media. An extended radical operation on the ear was applied in case of chronic otitis media. Performance of craniotomy and complete removal of the abscess using modern systems of neuronavigation showed a higher clinical efficacy as compared with transtemporal approach during sanitizing intervention on the ear including the opening and abscess drainage in surgery of otogenic abscesses of the brain.

0 (Anti-Bacterial Agents)

Date Created: 20160413 Date Completed: 20160428 Latest Revision: 20160412

20240829

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