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耳性頭蓋內合倂症의 臨床的考察

Some clinical observations of otitic intracranial complications

중앙의학 1965년 8권 3호 p.275 ~ 279
고영춘,
소속 상세정보
고영춘 (  ) - 전남대학교 의과대학 이비인후과학교실

Abstract


Twenty one cases of otitic intracranial complication were observed in the dept, of Otolaryngology, Chonnam University Hospital from 1960 to 1964.
In order of their relative frequency of incidence, these complications were:
1) lateral sinus thrombophlebitis 2) meningitis
3) epidural abscess 4) brain abscess
5) subdural abscess
Of these twenty one cases, only four cases of lateral sinus thrombophlebitis and two cases of epidural abscess occurred independently without having other complication, while the rest of the cases revealed combination of more than two complications.
All of twenty one cases followed after having chronic suppurative otitis media but none of them from acute otitis media.
In nineteen cases out of twenty one cases (approximately 90%), cholesteatoma was found in mastoid antrum or attic.
In all cases, bony destruction was demonstrated in the lateral sinus plate, tegmen antri or tegmen tympani.
Of sixteen cases for which bacterial culture was carried out, eleven eases revealed gram negative bacillus such as proteus, paracolon and escherichia. And the other three cases showed gram positive coccus mixed with gram negative bacillus.
Four cases of brain abscess were dead, while the rest of the cases were cured without any sequel.

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