Uszkodzenia ścian kostnych ucha środkowego u chorych operowanych z powodu schorzeń ucha w Klinice Otolaryngologii CM UJ w latach 2008–2012
Journal Title: Otolaryngologia Polska - Year 2014, Vol 68, Issue 3
Abstract
Background: We perform the middle ear operation to remove pathological tissue and in the next step present ossicular chain reconstruction. Otosurgeon has to also identify bone dehiscences, as a potential way to develop otogenic intracranial and intratemporal complications. Aim: We analyzed the patients with bone defects in the middle and/or posterior cranial fossa who present also defects of the bony wall of the facial nerve canal and lateral semicircular canal. Material and method s: We observed 537 patients who were operated on middle ear for the first time in the Department of Otolaryngology at the Jagiellonian University of Cracow from 2008 to 2012. We used a special questionnaire that includes diagnostics of the ear's disease, method of the operation and short- and long-term effects. Results: We discuss 45 patients with the skull base defects in the middle and/or posterior cranial fossa. Dehiscence of the bony wall of the facial nerve canal was present in 7 patients. In 4 cases semicircular canal fistula coexisted. The most common cause of bone dehiscence was granulation tissue, less frequently cholesteatoma. Conclusions:1. Apart from skull base defects in the middle and/or posterior cranial fossa, frequency of bony dehiscence of the facial nerve and semicircular canal fistula is the same as in all population operated on ear.2. Defects of the bony wall of the facial nerve and semicircular canal fistula are observed more frequently in granulomatous chronic otitis media than in cholesteatoma chronic otitis media.3. We observe the same frequency of intracranial complication in population of patients with defects of the bony wall of the facial nerve canal and horizontal semicircular canal than in all groups with skull base defects
Authors and Affiliations
Aleksandra Boroń, Maciej Wiatr, Robert Przeklasa, Jacek Składzień
Keywords
Related Articles
- EP ID EP52513
- DOI -
- Views 117
- Downloads 0
The use of laryngostroboscopy in diagnostics and results evaluation of treatment of patients with organic lesions in the larynx
Introduction: The aim of the work was to evaluate effects of the surgical treatment and postoperative rehabilitation of the patients with organic lesions of the larynx using laryngostroboscopy. Material and methods: A gr...
Aktualne kierunki diagnostyki i leczenia zapalenia zatok przynosowych
A growing interest in rhinosinusitis in recent years resulted in two European Position Papers in Rhinosinusitis and Nasal Polyposis (EP3OS) documents, published in 2005 and 2007, respectively. The latter is intended to b...
Zaburzenia głosu mutacyjnego uwarunkowane czynnikami psychicznymi
The case of 17 year old boy with mutational falsetto conditioned by a complex of psychic factors particulary with personality disorders and strong emotional bond with his mother was described. Phonation exercises lowered...
Activity of vestibular organs in menopausal women non-users Hormone Replacement Therapy (HRT)
Menopause affects women most commonly after 40 years of age. At this time there is higher risk of myocardial infarction, hypertension, high cholesterol level, diabetes, overweight, osteoporosis as well as balance disorde...
Severe injury within the splanchnocranium and neck with penetration of foreign bodies in wood processing
Introduction: The aim of this work was to describe the patient with severe injury within the splanchnocranium and neck connected with the penetration of large foreign bodies in his wood processing activity, and their imp...