Concurrent Surgery Mastoidectomy and Craniotomy in Unsafe Chronic Suppurative Otitis Media with Intracranial Abscess

DOI

10.2991/978-94-6463-280-4_51How to use a DOI?

Keywords

Concurrent craniotomy; mastoidectomy; malignant chronic otitis media suppurative with intracranial abscess

Abstract

Background

Chronic Suppurative Otitis Media is characterized by persistent secretion from the ear that has been pierced for longer than two months. An attic or posterosuperior cholesteatoma with a history of sparse, pungent otorrhea and hearing loss is a sign of unsafe CSOM. Cholesteatoma can infiltrate and cause bone damage. One of the most frequent intracranial consequences is a brain abscess.

Objective

To learn how to manage and treat patients with risky type CSOM who have brain abscess consequences.

Case Report

A 35-year-old man has been complaining for two months about otorrhea coming from his left ear. Hearing loss, hearing loss that originally felt pounding intermittently, a yellow-green color that is thick and stinks, and a headache that becomes worse after two weeks. Otoscopy observations include a cicatrix in the left retroauricle and a greenish-yellow discharge that is dense and foul-smelling. Results of a CT scan show that the left mastoid’s cholesteatoma and tegmen have eroded. The patient underwent a craniotomy and a modified radical mastoidectomy at the same time.

Methods

Using PubMed, Medline, NCBI, manual research to search for the evidence and literature.

Result

CSOM is referred to as a continuation of the initial episode of acute otitis media with the characteristics of persistent secretions from the middle ear through the tympanic membrane perforation.

Conclusion

Ear infection control is important for the management of cases like this, where in the literature review it is explained that mastoidectomy is the main treatment option.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Darmayanti
AU  - Elvia Haroen
AU  - Azwar Ridwan
AU  - Eva Miranda Fitri
PY  - 2023
DA  - 2023/10/31
TI  - Concurrent Surgery Mastoidectomy and Craniotomy in Unsafe Chronic Suppurative Otitis Media with Intracranial Abscess
BT  - Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)
PB  - Atlantis Press
SP  - 292
EP  - 299
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-280-4_51
DO  - 10.2991/978-94-6463-280-4_51
ID  - 2023
ER  -