cholesteatoma/vomiting

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Responsiveness of life-threatening refractory emesis to gabapentin-scopolamine therapy following posterior fossa surgery. Case report.

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Craniotomy-associated chronic emesis can be refractory to currently approved antiemetic therapy. The authors describe a man who suffered 4 weeks of severe refractory emesis, failure to thrive, and a 40-lb weight loss after he underwent resection of a posterior fossa cholesteatoma. The patient

Otitis media and CNS complications.

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Intracranial complications from otitis media can be quite devastating to the patient if an early diagnosis is not made. Patients may develop meningitis, venous sinus thrombosis or cranial nerve palsies, as well as intracranial abscess. The presenting features in such cases may be subtle and include

A case of headache attributed to otitis media chronica cholesteatomatica with cerebral sigmoid sinus thrombosis.

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Otitis media chronica cholesteatomatica with cerebral sigmoid sinus thrombosis is an important differential diagnosis in the evaluation of headache. We describe a 31-year-old Filipino man with chief complaints of headache, otalgia, vomiting, and vertigo, and no significant past medical history. Two

Brain abscess: with special reference to otolaryngologic sources of infection.

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The number of brain abscesses has been reduced since the preantibiotic era. This was accomplished by judicious use of antibiotics, by the advent of computed tomography, and by improvements in patient care and surgical techniques. Analysis from 122 patients with brain abscess demonstrated this trend

Early signs and symptoms of intracranial complications of otitis media in pediatric and adult patients: A different presentation?

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OBJECTIVE The aim of this study was to review the clinical presentation and early signs and symptoms of otogenic intracranial complications (OIC) in children and adults. METHODS retrospective chart review. The medical records of all children and adults admitted in our center with OIC during the

The use of total ossicular replacement prosthesis after radical tympanomastoidectomy.

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OBJECTIVE This paper presents our operative method for hearing recovery after the previous radical tympanomasto-idectomy, radical trepanation of the temporal bone (trepanatio radicalis ossis temporalis--TROT) in eight patients submitted to operations for giant cholesteatotoma. METHODS All the

Ambulatory tympanomastoid surgery in children: factors affecting hospital admission.

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OBJECTIVE To identify clinical factors associated with postoperative nausea and vomiting (PONV) and failure to discharge from the hospital on the day of surgery in children undergoing tympanomastoid surgery. METHODS Records of 144 children undergoing 152 tympanomastoid surgical procedures from July

[A case of otogenic cerebellar abscess].

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Cerebellar abscess is a serious complication of ear disease that requires early diagnosis and treatment. Computerized axial tomography with contrast enhancement is very useful for the diagnosis of these abscesses. This fact is illustrated by a case report of a cerebellar abscess secondary to chronic

[Pathogenesis and methods of treatment of otogenic brain abscess].

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Otitis media, acute or chronic, is a potentially dangerous disease which may lead to fatal complications. Meningitis is the most common intracranial complication, followed by otogenic brain abscesses while lateral sinus thrombosis is fairly uncommon. Mortality from otogenic brain abscesses remains

Different clinical presentation and management of temporal bone fibrous dysplasia in children.

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BACKGROUND Fibrous dysplasia is a slowly progressive benign fibro-osseous disorder that involves one or multiple bones with a unilateral distribution in most cases. It is a lesion of unknown etiology, uncertain pathogenesis, and diverse histopathology. Temporal bone involvement is the least

[Clinical analysis of otogenic intracranial complications].

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OBJECTIVE To analyze the clinical features and treatment protocols of otogenic intracranial complications in Peking Union Medical College Hospital. METHODS Retrospective study of 14 patients (10 males and 4 females, aged between 12 - 62 years, mean age 32.1 years) hospitalized from 1982 - 2006.

Pneumocephalus after Tympanomastoidectomy: A Case Presentation.

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UNASSIGNED Pneumocephalus is the presence of air or gas within the cranial cavity. It can occur following otorhinolaryngological procedures. A small pneumocephalus spontaneously heals without any treatment. In severe cases, conservative therapy includes a 30-degree head elevation, avoidance of the

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