Journal article
Transmastoid and Transtemporal Drainage of Petrous Apicitis with Otitis Media
Annals of otology, rhinology & laryngology, Vol.130(3), pp.314-318
03/01/2021
DOI: 10.1177/0003489420949591
PMID: 32772562
Abstract
Background: Petrous apicitis (PA) is a serious infection involving the apical portion of the petrous temporal bone. The classic triad of purulent otorrhea, ipsilateral abducens nerve palsy and retroorbital pain is rarely seen due to early detection and widespread use of antibiotics. Medical management is the primary treatment modality with surgery reserved for cases of recalcitrant petrous apex abscess. Methods and Results: We presented a case of PA with previously untreated otitis media. After multidisciplinary evaluation, the patient was initially treated with intravenous antibiotics followed by drainage of the abscess using a combined transmastoid and middle cranial fossa (MCF) approach. The patient recovered well with no recurrence of the infection based on imaging and symptoms. Discussion: While a variety of different surgical approaches can be used in treatment of PA, we recommend the MCF approach in cases where access to the anterior petrous apex may be challenging via transcanal or transmastoid approach.
Details
- Title: Subtitle
- Transmastoid and Transtemporal Drainage of Petrous Apicitis with Otitis Media
- Creators
- Heba Isaac - Roy J. and Lucille A. Carver College of MedicineAndrew Liu - Univ Iowa, Carver Coll Med, Dept Otolaryngol Head & Neck Surg, 200 Hawkins Dr, Iowa City, IA 52242 USASeiji B. Shibata - Roy J. and Lucille A. Carver College of MedicineMarlan R. Hansen - Roy J. and Lucille A. Carver College of Medicine
- Resource Type
- Journal article
- Publication Details
- Annals of otology, rhinology & laryngology, Vol.130(3), pp.314-318
- Publisher
- Sage
- DOI
- 10.1177/0003489420949591
- PMID
- 32772562
- ISSN
- 0003-4894
- eISSN
- 1943-572X
- Number of pages
- 5
- Grant note
- T32 DC000040; T35 HL007485 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Language
- English
- Date published
- 03/01/2021
- Academic Unit
- Molecular Physiology and Biophysics; Neurosurgery; Otolaryngology
- Record Identifier
- 9984297504402771
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