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 111
- Downloads 0
Petrosektomia subtotalna z wszczepieniem implantu ślimakowego w przewlekłym zapaleniu ucha środkowego
Chronic otitis media can lead to deafness and it is one of the indications for cochlear implantation. However the presence of chronic perforation or discharge from the ear requires specific management. We present two pat...
Lysosomal exoglycosidases in nasal polyps
Introduction: Nasal polyps are smooth outgrowths assuming a shape of grapes, formed from the nasal mucosa, limiting air flow by projecting into a lumen of a nasal cavity. Up to now the surgical resection is the best meth...
Ocena zachowań terapeutycznych lekarzy w Polsce w codziennej praktyce ambulatoryjnej odnośnie przepisywania leków przeciwhistaminowych
Aim of the study: The aim of the study was to assess management of patients with allergies, to evaluate frequency of use of specific antihistamines in population with diagnosed allergy, to evaluate causes and frequency o...
Sensory Organization Test outcomes in young, older and elderly healthy individuals - preliminary results
The goal of this study was to examine healthy young, mature, old and elderly using Computerized Dynamic Posturography (Smart EquiTest, Neurocom Int,), to collect their data and assess if balance differs significantly wit...
Prognostic signifi cance of cyclin D1 and cyclin B expression in laryngeal squamous cell carcinomas treated with radiotherapy
Cyclin B1 and cyclin D1 playing the role of regulatory subunits of cyclin-dependent kinases responsible for progression of cell cycle are involved in carcinogenesis of head and neck tumors. The aim of this study is to in...