RESUMO
As a postoperative complication, the recurrence of aural cholesteatoma is well documented. On rare occasions, a recurred cholesteatoma can penetrate the adjacent soft tissues instead of middle ear or extemal auditory canal. Recently, authors experienced a cholesteatoma in soft tissues of posteriorinferior portion of auricle, developing 8 years after an intact bridge mastoidectomy. We reviewed the reported case of cholesteatoma in soft tissues.
Assuntos
Colesteatoma , Colesteatoma da Orelha Média , Orelha Média , Pescoço , Complicações Pós-Operatórias , RecidivaRESUMO
BACKGROUND AND OBJECTIVES: Traumatic tympanic membrane (TM) perforatons are encountered relatively often in clinical practice. We carried out a retrospective study of TM perforation according to different injury types, age and sex distribution, and relationship between size of perforation, degree of hearing loss and duration of spontaneous healing. MATERIALS AND METHODS: A retrospective review was performed on 152 cases of traumatic TM perforation diagnosed in the emergency room from January, 1992 to December, 1997. RESULTS: There was follow up loss in 109 out of 152 cases. Its incidence was predominant in males, acounting for the ratio of male to female being about 2:1. Injury to the left side was predominant, there being 112 cases (79%), compared to 40 cases (31%) to the right side. Perforation of Grade I was most common, with 86 cases (57%). Among them, with 54 cases (35.5%), antero-inferior perforation constituted about one third of all cases. The mean air-conduction difference was 14.7dB, and showed a tendency to increase as the size of perforation increased. Spontaneous healing rate was 76%, and the mean duration for complete healing was 22.1 days. There was also a tendency for the duration of healing to increase as the size of perforation increased. In the case of complication with otorrhea, there was a tendency for the duration of healing to be shorter. CONCLUSION: Although traumatic TM perforations have good prognosis, it is necessary to induce patients with profuse explanations for possible complications to visit the out-patient clinic until the wound has healed completely.
Assuntos
Feminino , Humanos , Masculino , Serviço Hospitalar de Emergência , Seguimentos , Perda Auditiva , Incidência , Pacientes Ambulatoriais , Prognóstico , Estudos Retrospectivos , Distribuição por Sexo , Perfuração da Membrana Timpânica , Membrana Timpânica , Ferimentos e LesõesRESUMO
A chylous fistula has been reported to occur in 1% to 2% of cases as a complication of neck dissections, but a bilateral chylothorax following neck dissection, without concurrent chylous leakage at operation site, was very rare. In the chylothorax, serious problems may occur in cardiopulmonary function, metabolism, and nutrition of patient. Early diagnosis and proper management is very important. Recently authors experienced a case of bilateral chylothorax following neck dissection and managed with conservative treatment.
Assuntos
Humanos , Quilo , Quilotórax , Diagnóstico Precoce , Fístula , Metabolismo , Esvaziamento Cervical , PescoçoRESUMO
In the era of antibiotics, acute coalescent mastoiditis is a very uncommon event, but remains a potentially serious condition. Significant and even life-threatening complications beyond the tympanomastoid space may occur, including periauricular subperiosteal abscess, facial paralysis, meningitis, brain abscess, etc. However, there have appeared a few papers in the recent Korean literature on acute coalescent mastoiditis. Recently, we encountered with two cases of acute coalescent mastoidtitis complicated by subperiosteal abscess. Including incision and drainage of the abscess, parenteral antibiotic therapy was done for several days until the acute stage of infection was controlled. After that, simple mastoidectomy with ventilation tube insertion was carried out. We report these cases with review of literature.
