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題名 | 結核性中耳炎併發Bezold氏膿瘍--病例報告=Tuberculous Otitis Media Complicated with Bezold's Abscess--Case Report |
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作者 | 陳重光; 龔金根; 范盛欽; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 33:1 1998.02[民87.02] |
頁次 | 頁71-76 |
分類號 | 416.821 |
關鍵詞 | 結核性中耳炎; Bezold氏膿瘍; 改良型乳突根治切除術; Tuberculous otitis media; Bezold's abscess; Modified radical mastoidectomy; |
語文 | 中文(Chinese) |
中文摘要 | 結核性中耳炎是一種少見的疾病,可以藥物治療但早期診斷困難, 唯有靠耳鼻喉 科醫師對結核性中耳炎的認識及高度的警覺心。當懷疑有結核性中耳炎的可能性時,應做組 織切片檢查,以確定診斷。延遲治療導至併發症的產生,例如急性乳突炎、顏面神經麻痺、 迷路炎、�硎犑峖貝庢P染擴及中樞神經系統,則必須手術治療。 本文報告 1 名 45 歲男性 ,為結核性中耳炎併發有 Bezold 氏膿瘍,經改良型乳突根治切除術和頸部膿瘍切開引流術 治療。術後給與抗結核藥物 6 個月,至今恢復情況良好。 |
英文摘要 | Tuberculous Otitis Media is a treatable disease of low incidence. However, early detection is difficult because the symptoms and signs are usually nonspecific. The diagnosis thus depends on a high index of suspicion of this disease, and histological examination of the pathological tissue is necessary in making it correct. Chemotherapy is enough but surgery should be added if complicated with acute mastoiditis, suspected cholesteatoma, facial palsy, labyrinthitis, fistula formation, or extension of the infection into the central nervous system. In this paper we reported a 45-year-old male, who had tuberculous otitis media complicated with Bezold's abscess. Initially modified radical mastoidectomy and drainage of the neck absces were performed. Postoperatively anti-tuberculous chemotherapy was givern for six months. The ear and the neck lesion healed without further complication. |
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