RESUMO
Petrositis is still a very real complication of otitis media. The most striking diagnostic feature is facial and/or retrobulbar pain, and it is the most consistent symptom. External rectus paralysis was present in only one of the four cases presented in this series. Treatment is surgical. In order to spare the cochlea and give adequate exposure to the apical cells, the middle fossa approach to the petrous apex is presented, to be used alone or in conjunction with mastoidectomy.
Assuntos
Otite Média/cirurgia , Osso Petroso , Adolescente , Adulto , Feminino , Humanos , Masculino , Métodos , Otite Média/complicaçõesRESUMO
The CAT scan and the BERA have revolutionized the practice of otology. There is a tendency to accept a negative scan report as indicating a lack of pathology. The authors have found cases where central battery testing has indicated progressing brain stem disease in the presence of a normal CAT scan. In one case, the abnormal test preceded a hemiplegia by two weeks. This raises the possibility of delaying or aborting an infarct if the correct diagnosis is made early.