1/60. Intra-operative ultrasound-guided drainage of parotid abscess.parotitis complicated by parotid abscess remains a potentially life-threatening problem. Conventional surgical treatment involves incising the parotid parenchyma in the direction of the facial nerve until the abscess is located and evacuated. Intra-operative ultrasound greatly assists in localizing the abscess and in ensuring its complete drainage. Expeditious and exact localization of the abscess reduces operative time. Equally importantly, ultrasound-assisted drainage reduces surgical dissection and the potential for facial nerve damage.- - - - - - - - - - ranking = 1keywords = otitis (Clic here for more details about this article) |
2/60. Chronic petrous pyramid abscess presenting as a cerebellopontine angle mass. Case report.The authors present the case of a 5-year-old boy with a chronic petrous pyramid abscess and without a history of otitis media. Treatment by posterior fossa exploration and drainage with antibiotics was successful.- - - - - - - - - - ranking = 1keywords = otitis (Clic here for more details about this article) |
3/60. abscess formation in the temporomandibular joint as a complication of otitis media.A case of an eight-month-old girl with an abscess in the temporomandibular joint as a complication of acute otitis media is described. The complications of acute otitis media in general and the probable explanation for the development of this complication are discussed.- - - - - - - - - - ranking = 6keywords = otitis (Clic here for more details about this article) |
4/60. Submasseteric abscess: report of two cases.Submasseteric abscess is a rare infection with the symptoms of cheek tenderness and marked trismus. Submasseteric abscess is located between the masseter muscle and mandibular ramus with different appearances as sepsis, infection, or tumor. Two cases of submasseteric abscess are reported along with symptoms, causes, and management techniques. Adequate drainage and antibiotic infusion are the treatment of choice. The differential diagnosis of cheek swelling and tenderness that should be considered are parotitis, parotid gland tumor, temporomasseter joint arthritis, and submasseteric abscess.- - - - - - - - - - ranking = 1keywords = otitis (Clic here for more details about this article) |
5/60. Bezold's abscess in children: case report and review of the literature.The introduction of antibiotics in the treatment of suppurative otitis media has significantly decreased the incidence of complications. Reports of Bezold's abscess secondary to this disorder are rare, particularly in infants and young children, in whom mastoid bone pneumatization is not yet complete. We present a case of Bezold's abscess occurring in a child aged 18 months. The literature is reviewed and methods to accurately diagnose this complication are emphasized.- - - - - - - - - - ranking = 1keywords = otitis (Clic here for more details about this article) |
6/60. Recurrent soft tissue abscesses caused by legionella cincinnatiensis.Recurrent soft tissue abscesses of the jaw, wrist, and arm developed in a 73-year-old housewife with nephrotic syndrome and immunoglobulin a(kappa) gammopathy of unknown etiology. Conventional cultures remained negative, despite visible gram-negative rods on microscopy. Broad-spectrum PCR revealed legionella cincinnatiensis, which was confirmed by isolation of the organism on special legionella medium. Infections due to legionella species outside the lungs are rare. L. cincinnatiensis has been implicated in only four cases of clinical infection; these involved the lungs in three patients and the central nervous system in one patient. We conclude that broad-spectrum PCR can be a valuable tool for the evaluation of culture-negative infections with a high probability of bacterial origin and that legionella might be an underdiagnosed cause of pyogenic soft tissue infection.- - - - - - - - - - ranking = 0.13185446098582keywords = medium (Clic here for more details about this article) |
7/60. A unique case of Bezold's abscess associated with multiple dural sinus thromboses.OBJECTIVES/HYPOTHESIS: Bezold's abscess and dural sinus thromboses are rare complications of otitis media in the era of antibiotics. Although potentially fatal, they are treatable. We present a unique case report of Bezold's abscess in association with multiple dural sinus thromboses. STUDY DESIGN: Single case report. methods: A young female patient's clinical course is presented and discussed. We review the anatomy, incidence, pathogenesis, and treatment of Bezold's abscess and dural sinus thrombosis. RESULTS: After mastoidectomy, neck exploration, broad-spectrum intravenous antibiotics, and anticoagulation therapy, the patient recovered fully and has remained asymptomatic since her discharge from the hospital at 12 months' follow-up. CONCLUSIONS: This is the first reported case of Bezold's abscess associated with a cavernous sinus thrombosis and the third reported case of Bezold's abscess associated with lateral sinus thrombosis. Despite its rarity, Bezold's abscess must be recognized and treated aggressively. Dural sinus thrombosis is relatively more common, and treatment of the underlying cause is essential. The diagnosis and rapid, aggressive treatment of these conditions are essential for an optimal clinical outcome.- - - - - - - - - - ranking = 1keywords = otitis (Clic here for more details about this article) |
8/60. Mediastinal abscess successfully treated by percutaneous drainage using a unified CT and fluoroscopy system.We report two patients with mediastinal abscess developing after surgery for oesophageal cancer who were treated by percutaneous drainage using a unified CT and angiography system, which allows both CT and fluoroscopy to be conducted with the patient on the same bed. Fine needle puncture is performed under CT guidance and this needle is used as a tandem for insertion of the drainage needle under fluoroscopic guidance, making safe puncture possible whilst confirming the position of the needle tip. Moreover, contrast medium can be injected from the drainage tube, allowing the extent of the abscess cavity to be determined by fluoroscopy and CT, thereby making accurate drainage possible.- - - - - - - - - - ranking = 0.13185446098582keywords = medium (Clic here for more details about this article) |
9/60. Splenic abscesses.Splenic abscesses are rare entities (autopsy incidence between 0.14-0.7%). The most frequent etiology is the septic emboli seeding from bacterial endocarditis (about 20% of cases) or other septic foci (typhoid fever, malaria, urinary tract infections, osteomielitis, otitis). The treatment of splenic abscesses was until recently splenectomy with antibiotherapy. The actual trends are more conservative (mini invasive or non-invasive) because the immunologic role of the spleen has been better understood over the last year- - - - - - - - - - ranking = 1keywords = otitis (Clic here for more details about this article) |
10/60. Candidal abscess of the parotid gland associated with facial nerve paralysis.facial nerve paralysis associated with parotid gland mass is usually caused by malignant neoplasms and facial nerve dysfunction due to parotid infection is exceedingly rare. A review of the literature revealed approximately 15 cases of facial nerve palsy associated with suppurative parotitis or parotid abscess. We report the first case of candidal abscess of the parotid gland associated with facial nerve paralysis in a 74-year-old insulin-dependent diabetic patient. The differential diagnosis in these unusual cases occurring in diabetic, immunodeficient patients should include candida albicans infection.- - - - - - - - - - ranking = 1keywords = otitis (Clic here for more details about this article) |
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