Circumferential Petrosectomy for Petrous Apicitis and Cranial Base Osteomyelitis

Visosky, Ann Marie B.; Isaacson, Brandon; Oghalai, John S.

doi:10.1097/01.mao.0000233811.41177.48

Cited by 21 publications

(18 citation statements)

References 13 publications

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“…Fusobacterium necrophorum is an aggressive anaerobic organism that has been implicated other serious infections such as Lemierre's syndrome 18. These findings underscore the importance of aggressive, immediate management of advance otologic infections with surgery and intravenous antibiotics in collaboration with pediatric subspecialists in infectious disease 19…”

Section: Discussionmentioning

confidence: 95%

Advanced pediatric mastoiditis with and without intracranial complications

et al. 2009

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Nearly a quarter of pediatric patients with coalescent mastoiditis presented with a simultaneous intracranial complication. There was an increased incidence of anaerobic organisms in patients with intracranial complications compared to those without, indicating the importance of culture and antibiotic coverage appropriate for anaerobes. This series demonstrates the role of aggressive surgical management and close collaboration with the infectious disease service for long-term intravenous antibiotic therapy in treating pediatric patients with advanced mastoiditis.

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Section: Discussionmentioning

confidence: 95%

Advanced pediatric mastoiditis with and without intracranial complications

et al. 2009

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“…Advanced hyperbaric oxygen was shown to be effective in the treatment of advanced SBO (26). Surgical interventions may be necessary for the debridement of bone and inflammatory tissue, biopsy and culture (14). Staphylococcus aureus, serratia marcescens, escherichia coli and yeast reproduced in the purulent discharge taken from our patient's throat.…”

Section: Discussionmentioning

confidence: 99%

“…ICAs are often surrounded by inflammatory tissue; contrast involvement and wall thickening is seen. Stenosis may be seen in the petrous segment of the carotid due to petrositis (14) and in the extracranial segment due to retropharyngeal abscess (15). In addition, ICA stenosis can also be caused due to the mass effect or due to the spasms caused by the surrounding inflammatory tissue.…”

Section: Discussionmentioning

confidence: 99%

Skull Base Osteomyelitis Presenting with Facial Paralysis, Low Cranial Nerve Palsies and Bilateral Carotid Involvement: A Case Report

Atmaca¹,

Yeşilot²,

Çoban³

2015

tnd

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Skull base osteomyelitis (SBO) typically presents with severe otalgia and unilateral otorrhea in immune-compromised, particularly in elderly diabetic patients. Skull base osteomyelitis usually presents with external otitis but it can also occur as a complication of acute otitis media and mastoiditis. Complications of SBO are venous sinus thrombosis, meningitis, abscess, cranial neuropathies and carotid invasion with or without ischemic stroke. Here we report a case with SBO presenting with facial paralysis, lower cranial nerve palsies and bilateral carotid involvement which occurred following sore throat and bilateral otalgia. Kafa tabanı osteomiyeliti (KTO) tipik olarak immün sistemi baskılanmış kişilerde, özellikle yaşlı diyabetik hastalarda şiddetli otalji ve tek taraflı otore ile kendini gösterir. Genelde eksternal otitle birliktedir ama akut otitis media ve mastoiditin komplikasyonu olarak da görülebilir. Kafa tabanı osteomiyelitinin komplikasyonları arasında sinüs ven trombozu, menenjit, abse, kranyal nöropatiler, iskemik infarktların eşlik ettiği veya etmediği karotis invazyonu bulunmaktadır. Bu olgu sunumunda boğaz ve iki yanlı kulak ağrısı sonrası gelişen fasyal paralizi, alt kranyal sinir felçleri ve iki yanlı karotis tutulumu ile kendini gösteren bir kafa tabanı osteomiyeliti olgusu bildirilmektedir. (Türk Nöroloji Dergisi 2015; 21:27-30) Anah tar Ke li me ler: Kafa tabanı osteomiyeliti, eksternal otit, psödomonas aeruginosa, internal karotis arter Çıkar Çatışması: Yazarlar bu makale ile ilgili olarak herhangi bir çıkar çatışması bildirmemiştir.

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“…4). Narrowing of ICA lumen may also occur in the petrous segment associated with petrositis [13] or in the extracranial segments associated with retropharyngeal abscess [23]. Finally, ICA stenosis may result from simple mass effect or spasm associated with the surrounding inflammatory process.…”

Section: Imaging Of Intracranial and Cerebrovascular Complications Inmentioning

confidence: 99%

“…Adjuvant hyperbaric oxygen therapy has proved effective in the treatment of advanced skul base osteomyelitis [4]. Surgery is reserved primarily for debridement of necrotic bone and inflammatory tissue, biopsy and culture [13]. The role of anticoagulation in the management of cerebrovascular complications in children remains debated because of its sporadic use and lack of controlled studies [14].…”

Section: Introductionmentioning

confidence: 99%

Skull base osteomyelitis and potential cerebrovascular complications in children

et al. 2012

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Skull base osteomyelitis is an aggressive, life-threatening infection that can be challenging to diagnose and treat. It occurs predominantly in elderly immunocompromised patients, but it has also been reported in children with normal immunological status. Typical skul base osteomyelitis arises as a complication to ear infection mainly involving the temporal bone and is usually caused by Pseudomonas aeruginosa. Atypical or central skul base osteomyelitis originates from paranasal infections, is primarily centred on the clivus and is usually caused by Aspergillus, Pseudomonas, Salmonella or Staphylococcus species. Potential complications include retropharyngeal abscesses, cranial neuropathies, meningitis, intracranial abscesses, sinovenous thrombosis, and carotid artery involvement with or without ischemic infarcts. The purpose of this pictorial essay is to illustrate the spectrum of imaging findings and potential complications of skul base osteomyelitis.

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Circumferential Petrosectomy for Petrous Apicitis and Cranial Base Osteomyelitis

Cited by 21 publications

References 13 publications

Advanced pediatric mastoiditis with and without intracranial complications

Advanced pediatric mastoiditis with and without intracranial complications

Skull Base Osteomyelitis Presenting with Facial Paralysis, Low Cranial Nerve Palsies and Bilateral Carotid Involvement: A Case Report

Skull base osteomyelitis and potential cerebrovascular complications in children

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