Evolution in management of otogenic brain abscess

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Witold SzyfterAnna Bartochowska

Abstract

To present the therapeutic results related with treating 103 patients with cerebral abscesses of otogenic origin during 3 various time frames (1953-1977, 1978-1989, and 1990-2011). A total of 103 patients with cerebral abscess of otogenic origin. Diagnostics and treatment. Analysis of mortality rates, abscess location and its basis, coexisting complications, neurological condition at admittance, bacteriological tests, and presentation of the results of abscess treatment with the use of neuronavigation. Mortality rates dropped systematically from the initial value of 35% observed between 1953 and 1977, to 14% between 1978 and 1989, and finally reached 3% between 1990 and 2011. Abscesses were mainly located within the temporal lobe. They predominantly resulted from chronic inflammation of the middle ear. A wide panel of complications was associated with them. Strong concurrence between results of cultures taken from the ear and the abscess was noted. Cerebral abscesses remain one of the most severe complications related with inflammation of the middle ear. Both the operative methods and the postoperative care evolved (introduction of surgical microscope, new generation of antibiotics), the preoperative diagnostics facilitating th...Continue Reading

References

Dec 1, 1984·The Journal of Laryngology and Otology·P J BradleyM D Shaw
Jan 6, 2005·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Norma de Oliveira PenidoOswaldo Laércio M Cruz
Sep 15, 2005·Acta Oto-laryngologica·Lela MigirovJona Kronenberg
Nov 7, 2006·American Journal of Otolaryngology·Maky A HafidhDaniel Rawluk
May 20, 2008·The Journal of Laryngology and Otology·S TandonA C Swift

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Citations

Oct 4, 2014·Korean Journal of Audiology·Min Kyu KwakChul Won Park
Apr 26, 2019·Ear, Nose, & Throat Journal·Hardip Singh GendehNoor Dina Hashim

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