[Otogenic cerebral abscess: a persistent problem]. / Absceso cerebral otógeno: un problema persistente.

A young man with otitis media and cholesteatoma of the left ear developed secondary cerebral abscess. The clinical debut was non-specific, with headache, mild fever, and mild persistent otalgia in spite of early antibiotic treatment. Studies revealed a cerebral abscess, so ENT surgery in collaboration with the neurosurgery department was decided. This case illustrates that clinical manifestations in such cases can be mild and highlights the need to exclude this type of serious pathology.

[Relation between the Toynbee phenomenon and tube dysfunction]. / Relación del fenómeno de Toynbee con la disfunción tubárica.

The effect of the Toynbee phenomenon in patients with nasal packing was studied. Nasal packing was used in 35 patients admitted for surgical correction of septal deviation. Middle ear pressure was measured during nasal packing and the results were compared with nasopharyngeal pressure gradients recorded during the Toynbee maneuver. The aim of the study was to demonstrate that one of the main causes of tube dysfunction during nasal obstruction is the Toynbee phenomenon.

[The Toynbee's phenomenon effect on the middle ear during nasal tamponade]. / Efecto del fenómeno de toynbee en el oído medio durante el taponamiento nasal.

Is has been demonstrated by some AA. that nasal packing can cause Eustachian tube dysfunction. There are several motives, isolated or united as well, that have been offered to account for Eustachian tube dysfunction, but the exact causative mechanism still remains unclear. We have studied the Eustachian tube function in 75 patients with septal deviation that underwent septal surgery followed by anterior nasal packing. The aim of our work is to demonstrate that one of the main causes of the tubal dysfunction, after bilateral packing of nasal cavities, is the Toynbee's phenomenon.