A MISSED DIAGNOSIS OF SKULL BASE OSTEOMYELITIS PRESENTING AS POST MASTOIDECTOMY GRAFT INFECTION-A CASE REPORT-Reference-Cited by-同舟云学术

A MISSED DIAGNOSIS OF SKULL BASE OSTEOMYELITIS PRESENTING AS POST MASTOIDECTOMY GRAFT INFECTION-A CASE REPORT

Published:2021-02-01 Issue: Volume: Page:3-5
ISSN:
Container-title:INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
language:en
Short-container-title:ijsr

Author:

Palanisamy Thirunavukarasu¹,Manimaran Vinoth²,Prabakar Ajaykumar³,Lakshmanan Somu⁴

Affiliation:

1. Professor , Department of ENT & Head and Neck Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, India - 600116.

2. Assistant Professor, Department of ENT & Head and Neck Surgery, Sri Ramachandra Institute of Higher Education and Research Chennai, India - 600116.

3. Post Graduate, Department of ENT & Head and Neck Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, India - 600116.

4. Professor and Head, Department of ENT & Head and Neck Surgery, Sri Ramachandra Institute of Higher Education and Research Chennai, India- 600116.

Abstract

Skull base osteomyelitis (SBO) of temporal bone is a life-threatening condition usually seen in immunocompromised individuals. Diagnosis of SBO is based on characteristic clinical and radiological ndings. A63 year old male presented with left ear ache for 3 weeks. On perusal of records, he had underwent intact Canal wall mastoidectomy with tympanoplasty for chronic otitis media in the same ear 4 weeks back. He was treated as post mastoidectomy graft infection for past 1 week with no improvement. On examination, his ear canal was completely stenosed. Computerised Tomography of temporal bone showed bone erosions around eustachian tube lateral to carotid canal with soft tissue density lling ear canal and mastoid cavity. SBO was diagnosed. He underwent canal wall down mastoidectomy and treated subsequently with long term anti-microbials. Coexistent SBO was missed during the initial surgery in this patient.

Publisher

World Wide Journals

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