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KMID : 0390220000110010137
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2000 Volume.11 No. 1 p.137 ~ p.140
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A Case of Brain Abscess Complicated in Masked Mastoiditis
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백승훈/Sung Hun Baek
정원형/이원용/김종애/Won Hyung Jeong/Won Yong Lee/Chong Ae Kim
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Abstract
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With the advent of braod-spectrum antibiotics and inadequate usage, the frequency of serous otitis media and
masked mastoiditis after acute otitis media is increased. The first awareness of the mastoiditis may be following
the presentation of an intracranial complications such as meingitis, lateral sinus thrombosis or brain abscess.
We experenced a diabetic patient with masked mastoiditis and brain abscess without tympanic membrain
perforation, who had recieved myringotomy and antibiotic treatment more than once a year due to repeated ear
fullness since 20 years ago. We performed simple mastoidectomy, myringotomy with v-tube insertion and
aspiration of brain abscess. The clinicians are urged to maintain a high suspicion of masked mastoiditis in the
high risk patients, including newborn, diabetic, elderly, immunosuppressed or depilitated patients.
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