FEATURES OF OTOGENIC INTRACRANIAL COMPLICATIONS AT THE PRESENT STAGE

Author:

Krivopalov A. A.1,Yanov Yu. K.1,Astashchenko S. V.1,Shcherbuk A. Yu.2,Artyushkin S. A.3,Vakhrushev S. G.4,Piskunov I. S.5,Piskunov V. S.5,Tuzikov N. A.6

Affiliation:

1. Saint-Petersburg Research Institute of the ear, throat, nose and speech

2. Saint-Petersburg State University

3. I. I. Mechnikov North-Western State Medical University

4. V.F.Voino-Yasenetskiy Krasnoyarsk State Medical University

5. Kursk State Medical University

6. Saint-Petersburg Municipal hospital № 17

Abstract

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.

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Subject

General Medicine

Reference33 articles.

1. Gadzhimirzaev G. A. O nereshennykh voprosakh problemy gnoinosepticheskikh oslozhnenii ushnogo proiskhozhdeniya // Ros. otorinolar. 2010. № 6. C. 14-18.

2. Gofman V. R. Operatsii pri otogennykh vnutricherepnykh oslozhneniyakh // Otorinolaringologiya: Natsional'noe rukovodstvo / Pod red. V. T. Pal'chuna. M.: GEOTAR-Media, 2008. S. 341-342.

3. Grinberg M. S. Neirokhirurgiya / Per. s angl. M.: MEDpressinform, 2010. 1008 s.

4. Krivopalov A. A., Vakhrushev S. G. Sistema spetsializirovannoi otorinolaringologicheskoi pomoshchi v Krasnoyarskom krae // Ros. otorinolar. 2013. № 4. C. 50-54.

5. Sergeev M. M., Zinkin A. N. Nekotorye sovremennye problemy sepsisa // Novosti otorinolaringol. i logopatol. 2001. № 1. C. 122-129.

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3