Clinical analysis, diagnosis, and treatment strategies for otogenic brain abscesses

Objective: To explore the clinical features, diagnosis, and treatment strategies for otogenic brain abscesses (OBA). Methods: Clinical data from 10 patients with OBA were analyzed retrospectively. Clinical characteristics, diagnosis, and treatment experiences were summarized. Results: Two were first diagnosed in the Department of Otorhinolaryngology, 5 in Neurosurgery, and 3 in other departments. There were 6 cases of temporal lobe abscess and 4 cases of cerebellar abscesses. Five cases were accompanied by 1 or more intracranial complications. Headache is a common presentation in all cases. The main pathogenic bacteria were anaerobic bacteria. All patients had no previous ear or brain surgery history, and no history of traumatic brain injury, 7 received surgical treatment in the neurosurgery and/or otolaryngology department. Two patients died, the other 8 fully recovered and so were discharged. Conclusions: Diagnosis and treatment of OBA must involve multiple departments. Multidisciplinary consultation (MDT) is crucial to the success of the first OBA diagnosis. The diagnosis and treatment team develops personalized treatment plans by integrating MDT treatment opinions and combining the actual condition of patients, thereby making the diagnosis and treatment of OBA accurate and timely.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - year:2023

Enthalten in:

Ear, nose, & throat journal - (2023) vom: 30. Okt., Seite 1455613231205442

Sprache:

Englisch

Beteiligte Personen:

Zhang, Ziheng [VerfasserIn]
Wu, Cong [VerfasserIn]
Xia, Haiou [VerfasserIn]
Yu, Xinru [VerfasserIn]
Zhao, Baojun [VerfasserIn]
Chen, Xiaoyun [VerfasserIn]

Links:

Volltext

Themen:

Clinical features
Complications
Diagnosis and treatment
Journal Article
Middle-ear cholesteatoma
Otogenic brain abscesses

Anmerkungen:

Date Revised 21.12.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1177/01455613231205442

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36394186X