ABSTRACT
No disponible
Subject(s)
Humans , Female , Child , Earache/complications , Earache/diagnosis , Emergency Nursing/ethics , Emergency Nursing/instrumentation , Myiasis/parasitology , Otitis Media with Effusion/complications , Earache/nursing , Cerebrospinal Fluid Otorrhea/microbiology , Emergency Nursing , Emergency Nursing/organization & administration , Myiasis/nursing , Myiasis/prevention & control , Otitis Media with Effusion/parasitologyABSTRACT
A 28 years old woman diagnosed of Méniére's disease was surgically treated with a drainage from endolymphatic system and a valve placed. Six years after surgery, the patient presented a bacteria meningitis an a cerebrospinal fluid leak to mastoid was found. New surgery was needed. Complications of endolymphatic system surgery, its treatment and frequency are discussed. This case is a very rare.
Subject(s)
Cerebrospinal Fluid Otorrhea/etiology , Endolymphatic Sac/surgery , Fistula/etiology , Meningitis, Bacterial/metabolism , Postoperative Complications , Adult , Ear, Inner/physiopathology , Ear, Inner/surgery , Endolymphatic Sac/physiopathology , Female , Fistula/physiopathology , Humans , Meniere Disease/physiopathology , Meniere Disease/surgeryABSTRACT
A study was made of 21 children with cholesteatoma and chronic otitis media between 1989 and 1991. We reviewed diagnostic tools, presurgical data, surgical procedures and results. Certain aspects of special relevance such as congenital anomalies and presurgical complications, are emphasized. The procedure of choice was mastoid tympanoplasty with the canal wall down, which is preferred in children. Hearing results were poor, partially caused by the process of bone resorption and by the surgical technique used. The incidence of persistent disease and recurrent cholesteatoma was high but we achieved a good control of the disease development because the canal wall down procedure allowed visualization and cleaning of the mastoid cavity.