1/3. petrositis and cerebellar abscess complicating chronic otitis media.A 12-year-old girl with chronic otitis media complicated by petrositis and cerebellar abscess is presented. Early surgical intervention, in combination with broad-spectrum antibiotics, provided a good outcome. life-threatening complications of otitis media, although rare, still occur in developed countries.- - - - - - - - - - ranking = 1keywords = petrositis (Clic here for more details about this article) |
2/3. Two stage management of petrositis with associated mycotic aneurysm of the intrapetrous carotid artery.Mycotic aneurysm of the petrous temporal bone is extremely rare, with only 12 cases previously reported. We review the literature to date and present a case of petrositis complicated by a mycotic aneurysm of the internal carotid artery, which was managed by endovascular balloon occlusion and subsequent total petrosectomy. We can find no other case in the literature where balloon occlusion has been used to treat a mycotic aneurysm of the intrapetrous carotid artery prior to total petrosectomy to treat petrositis.- - - - - - - - - - ranking = 6keywords = petrositis (Clic here for more details about this article) |
3/3. Nonspecific necrotizing petrositis: an unusual complication of otitis in children.Three cases of an unusual form of suppurative chronic otitis media in children 2 and 3 years old are presented. The clinical feature common to all cases was otorrhea, beginning at the first months of life, with a silent evolution to a complete peripheral facial paralysis. In one case the facial paralysis was bilateral. The treatment applied was surgical: subtotal petrosectomy. The surgical findings were bloody granulation tissue, sequestering completely the otic capsule. The facial nerve was destroyed almost the total length of the Fallopian canal in all cases. The histopathologic examination revealed a destructive and nonspecific chronic inflammatory process. The culture showed Gram-negative organisms, such as pseudomonas aeruginosa and proteus mirabilis. Etiologic aspects involved in the process are discussed and the name non-specific necrotizing petrositis is suggested to individualize this rare form of otitis which, with morbidity, leads to severe complications such as facial paralysis and deafness.- - - - - - - - - - ranking = 5keywords = petrositis (Clic here for more details about this article) |