The American journal of otology · 1997
Intracranial complications of temporal bone osteoradionecrosis.
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Leonetti J P, Origitano T, Anderson D, Melian E, Severtson M
Аннотация
OBJECTIVE: To present four cases of life-threatening intracranial complications associated with temporal bone osteoradionecrosis.
STUDY DESIGN: This study was a retrospective case review of four patients combined with a literature review.
SETTING: All patients were treated at Loyola University Medical Center, which is a tertiary care facility.
PATIENTS: The four patients were retrospectively reviewed without demographic constraints.
INTERVENTIONS: All patients underwent preoperative radiographic assessment (magnetic resonance imaging/computed tomography scan), and three of the four patients underwent surgery.
MAIN OUTCOME MEASURE: The role of surgical intervention in the management of advanced temporal bone osteoradionecrosis.
RESULTS: Three patients underwent mastoid surgery after medical treatment of intracranial complications associated with temporal bone osteoradionecrosis. All three patients had dry, epithelialized mastoid cavities. One patient died as a result of meningitis.
CONCLUSIONS: Mastoid surgery should be used in the overall management of patients with advanced temporal bone osteoradionecrosis to prevent secondary intracranial complications.
STUDY DESIGN: This study was a retrospective case review of four patients combined with a literature review.
SETTING: All patients were treated at Loyola University Medical Center, which is a tertiary care facility.
PATIENTS: The four patients were retrospectively reviewed without demographic constraints.
INTERVENTIONS: All patients underwent preoperative radiographic assessment (magnetic resonance imaging/computed tomography scan), and three of the four patients underwent surgery.
MAIN OUTCOME MEASURE: The role of surgical intervention in the management of advanced temporal bone osteoradionecrosis.
RESULTS: Three patients underwent mastoid surgery after medical treatment of intracranial complications associated with temporal bone osteoradionecrosis. All three patients had dry, epithelialized mastoid cavities. One patient died as a result of meningitis.
CONCLUSIONS: Mastoid surgery should be used in the overall management of patients with advanced temporal bone osteoradionecrosis to prevent secondary intracranial complications.