FEATURES OF OTOGENIC INTRACRANIAL COMPLICATIONS AT THE PRESENT STAGE
A retrospective analysis of treatment was made in 127 adult patients with acute and chronic otitis media complicated by suppurative-inflammatory pathology of the brain. Purulent meningitis was revealed in 52 (40,9%) of hospitalized patients. Meningoencephalitis was often diagnosed in the cases of ac...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | Russian |
Published: |
Pavlov First Saint Petersburg State Medical University
2015-12-01
|
Series: | Вестник хирургии имени И.И. Грекова |
Subjects: | |
Online Access: | https://www.vestnik-grekova.ru/jour/article/view/147 |
_version_ | 1826962685518938112 |
---|---|
author | A. A. Krivopalov Yu. K. Yanov S. V. Astashchenko A. Yu. Shcherbuk S. A. Artyushkin S. G. Vakhrushev I. S. Piskunov V. S. Piskunov N. A. Tuzikov |
author_facet | A. A. Krivopalov Yu. K. Yanov S. V. Astashchenko A. Yu. Shcherbuk S. A. Artyushkin S. G. Vakhrushev I. S. Piskunov V. S. Piskunov N. A. Tuzikov |
author_sort | A. A. Krivopalov |
collection | DOAJ |
description | A retrospective analysis of treatment was made in 127 adult patients with acute and chronic otitis media complicated by suppurative-inflammatory pathology of the brain. Purulent meningitis was revealed in 52 (40,9%) of hospitalized patients. Meningoencephalitis was often diagnosed in the cases of acute otitis media (15,4%) and in cases of chronic otitis (22,7%). The otogenic brain abscess was detected in 13,5% of otitis media cases and it was noted to be twice frequent (33,3%) in cases of purulent otitis media. The patients 124 (97,6%) have been operated. An extended mastoidotomy and antromastoidotomy were performed in the acute purulent otitis media. An extended radical operation on the ear was applied in case of chronic otitis media. Performance of craniotomy and complete removal of the abscess using modern systems of neuronavigation showed a higher clinical efficacy as compared with transtemporal approach during sanitizing intervention on the ear including the opening and abscess drainage in surgery of otogenic abscesses of the brain. |
first_indexed | 2024-04-10T02:22:53Z |
format | Article |
id | doaj.art-91d57a2f464f4421951e9bd4c602f4f3 |
institution | Directory Open Access Journal |
issn | 0042-4625 |
language | Russian |
last_indexed | 2025-02-18T02:20:12Z |
publishDate | 2015-12-01 |
publisher | Pavlov First Saint Petersburg State Medical University |
record_format | Article |
series | Вестник хирургии имени И.И. Грекова |
spelling | doaj.art-91d57a2f464f4421951e9bd4c602f4f32024-11-26T10:43:44ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252015-12-011746687910.24884/0042-4625-2015-174-6-68-79146FEATURES OF OTOGENIC INTRACRANIAL COMPLICATIONS AT THE PRESENT STAGEA. A. Krivopalov0Yu. K. Yanov1S. V. Astashchenko2A. Yu. Shcherbuk3S. A. Artyushkin4S. G. Vakhrushev5I. S. Piskunov6V. S. Piskunov7N. A. Tuzikov8Saint-Petersburg Research Institute of the ear, throat, nose and speechSaint-Petersburg Research Institute of the ear, throat, nose and speechSaint-Petersburg Research Institute of the ear, throat, nose and speechSaint-Petersburg State UniversityI. I. Mechnikov North-Western State Medical UniversityV.F.Voino-Yasenetskiy Krasnoyarsk State Medical UniversityKursk State Medical UniversityKursk State Medical UniversitySaint-Petersburg Municipal hospital № 17A retrospective analysis of treatment was made in 127 adult patients with acute and chronic otitis media complicated by suppurative-inflammatory pathology of the brain. Purulent meningitis was revealed in 52 (40,9%) of hospitalized patients. Meningoencephalitis was often diagnosed in the cases of acute otitis media (15,4%) and in cases of chronic otitis (22,7%). The otogenic brain abscess was detected in 13,5% of otitis media cases and it was noted to be twice frequent (33,3%) in cases of purulent otitis media. The patients 124 (97,6%) have been operated. An extended mastoidotomy and antromastoidotomy were performed in the acute purulent otitis media. An extended radical operation on the ear was applied in case of chronic otitis media. Performance of craniotomy and complete removal of the abscess using modern systems of neuronavigation showed a higher clinical efficacy as compared with transtemporal approach during sanitizing intervention on the ear including the opening and abscess drainage in surgery of otogenic abscesses of the brain.https://www.vestnik-grekova.ru/jour/article/view/147otorhinolaryngological specialized careneurosurgical specialized careotogenic intracranial complications |
spellingShingle | A. A. Krivopalov Yu. K. Yanov S. V. Astashchenko A. Yu. Shcherbuk S. A. Artyushkin S. G. Vakhrushev I. S. Piskunov V. S. Piskunov N. A. Tuzikov FEATURES OF OTOGENIC INTRACRANIAL COMPLICATIONS AT THE PRESENT STAGE Вестник хирургии имени И.И. Грекова otorhinolaryngological specialized care neurosurgical specialized care otogenic intracranial complications |
title | FEATURES OF OTOGENIC INTRACRANIAL COMPLICATIONS AT THE PRESENT STAGE |
title_full | FEATURES OF OTOGENIC INTRACRANIAL COMPLICATIONS AT THE PRESENT STAGE |
title_fullStr | FEATURES OF OTOGENIC INTRACRANIAL COMPLICATIONS AT THE PRESENT STAGE |
title_full_unstemmed | FEATURES OF OTOGENIC INTRACRANIAL COMPLICATIONS AT THE PRESENT STAGE |
title_short | FEATURES OF OTOGENIC INTRACRANIAL COMPLICATIONS AT THE PRESENT STAGE |
title_sort | features of otogenic intracranial complications at the present stage |
topic | otorhinolaryngological specialized care neurosurgical specialized care otogenic intracranial complications |
url | https://www.vestnik-grekova.ru/jour/article/view/147 |
work_keys_str_mv | AT aakrivopalov featuresofotogenicintracranialcomplicationsatthepresentstage AT yukyanov featuresofotogenicintracranialcomplicationsatthepresentstage AT svastashchenko featuresofotogenicintracranialcomplicationsatthepresentstage AT ayushcherbuk featuresofotogenicintracranialcomplicationsatthepresentstage AT saartyushkin featuresofotogenicintracranialcomplicationsatthepresentstage AT sgvakhrushev featuresofotogenicintracranialcomplicationsatthepresentstage AT ispiskunov featuresofotogenicintracranialcomplicationsatthepresentstage AT vspiskunov featuresofotogenicintracranialcomplicationsatthepresentstage AT natuzikov featuresofotogenicintracranialcomplicationsatthepresentstage |