中华耳科学杂志2016，Vol.14Issue(5)：660-664,5.DOI:10.3969/j.issn.1672-2922.2016.05.021
颞骨骨髓炎5例报告
Temporal Bone Osteomyelitis-A Report of 5 Cases
李琦 1莫婷婷 1彭宏 2张威 1刘小龙 1梁勇1
作者信息
- 1. 南方医科大学南方医院耳鼻咽喉-头颈外科 广州 510515
- 2. 广东省第二人民医院耳鼻咽喉-头颈外科 广州 510317
- 折叠
摘要
Abstract
Objective To report clinical features and treatment outcomes of 5 patients with temporal bone osteomyeli-tis. Methods Data from 5 patients with temporal bone osteomyelitis seen over a 15-year period (2000-2014) at the depart-ment of Otolaryngology-Head and Neck Surgery, Nanfang Hospital, were reviewed, including clinical manifestations, labo-ratory test results, imaging results and treatment provided. Each patient was followed for 3 to 12 months. Results Among the 5 patients, 3 had history of diabetes mellitus, 1 had history of nasopharyngeal carcinoma radiotherapy, and 1 had history of middle ear surgery. The main clinical symptoms were deep ear pain, ear discharge, hearing loss and ear fullness. By bacte-ria culture of ear discharge, pseudomonas aeruginosa was detected in 2 patients, staphylococcus aureus in 1 patient, coryne-bacterium jeikeium composed with corynebacterium xerosis, epidermis staphylococcus and dung enterococcus in 1 patient, and no bacteria in 1 patient. Technetium-99(Tm99c)bone scan showed radioactive concentration in the temporal bone and enhanced CT scan of temporal bone showed bone destruction and bone formation. All patients underwent surgical debride-ment, dead bone removal and abscess cavity drainage followed by antibiotics for 8 weeks. At 3 to 12 months follow-up, 1 pa-tient died, 2 patients suffered recurrent symptoms and 2 patients were cured without recurrence. Conclusions The pathogen-esis of temporal bone osteomyelitis is closely related to diabetes mellitus. Furthermore, surgical drainage is helpful in elimi-nating local lesion and promoting healing.关键词
颞骨/骨髓炎/糖尿病Key words
temporal bone/osteomyelitis/diabetes mellitus分类
医药卫生引用本文复制引用
李琦,莫婷婷,彭宏,张威,刘小龙,梁勇..颞骨骨髓炎5例报告[J].中华耳科学杂志,2016,14(5):660-664,5.
