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Transmastoid and Transtemporal Drainage of Petrous Apicitis with Otitis Media.
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- Author(s): Isaac H;Isaac H; Liu A; Liu A; Shibata SB; Shibata SB; Hansen MR; Hansen MR
- Source:
The Annals of otology, rhinology, and laryngology [Ann Otol Rhinol Laryngol] 2021 Mar; Vol. 130 (3), pp. 314-318. Date of Electronic Publication: 2020 Aug 08.
- Publication Type:
Case Reports; Journal Article
- Language:
English
- Additional Information
- Source:
Publisher: Sage Country of Publication: United States NLM ID: 0407300 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1943-572X (Electronic) Linking ISSN: 00034894 NLM ISO Abbreviation: Ann Otol Rhinol Laryngol Subsets: MEDLINE
- Publication Information:
Publication: 2014- : Los Angeles : Sage
Original Publication: St. Louis : Annals Publishing Co
- Subject Terms:
- Abstract:
Background: Petrous apicitis (PA) is a serious infection involving the apical portion of the petrous temporal bone. The classic triad of purulent otorrhea, ipsilateral abducens nerve palsy and retroorbital pain is rarely seen due to early detection and widespread use of antibiotics. Medical management is the primary treatment modality with surgery reserved for cases of recalcitrant petrous apex abscess.
Methods and Results: We presented a case of PA with previously untreated otitis media. After multidisciplinary evaluation, the patient was initially treated with intravenous antibiotics followed by drainage of the abscess using a combined transmastoid and middle cranial fossa (MCF) approach. The patient recovered well with no recurrence of the infection based on imaging and symptoms.
Discussion: While a variety of different surgical approaches can be used in treatment of PA, we recommend the MCF approach in cases where access to the anterior petrous apex may be challenging via transcanal or transmastoid approach.
- Contributed Indexing:
Keywords: antibiotics; imaging; middle fossa; petrous apicitis; surgery
- Accession Number:
0 (Anti-Bacterial Agents)
- Publication Date:
Date Created: 20200811 Date Completed: 20210222 Latest Revision: 20220420
- Publication Date:
20221213
- Accession Number:
10.1177/0003489420949591
- Accession Number:
32772562
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