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KMID : 0361020010440010108
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Korean Journal of Otolaryngology - Head and Neck Surgery
2001 Volume.44 No. 1 p.108 ~ p.112
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A Case of Epidural Abscess Formation and Lateral Sinus Thrombophlebitis Complicating Chronic Otitis Media with Cholesteatoma
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문태옥/Tai Ok Moon
민경민/윤제환/장인원/Min Gyeong Min/Je Hwan Yoon/In Won Chang
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Abstract
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The incidence of intracranial complications of otitis media, including lateral sinus thrombophlebitis, has been significantly reduced since the advent of antibiotics. This entity is rarely encountered in clinical practice, and delay in its
diagnosis and
institution of appropriate therapy may lead to serious, or even fatal, consequences. The signs and clinical course of lateral sinus thrombophlebitis are non-specific and the final diagnosis rests upon radiological investigations including
CT-scans
and
MRI. We have experienced a case of middle fossa and posterior fossa epidural abscess formation, lateral sinus thrombophlebitis that has developed secondary chronic otitis media with cholesteatoma in a 47 year-old female patient. We report this
case
which was successfully treated by middle fossa dura and posterior fossa dura drainage, lateral sinus thrombectomy with open mastoidectomy.
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