耳源性颅内、外并发症

Otogenic intracranial and extracranial complications

本文总结20年间505例乳突根治术中各种耳源性颅内、外并发症的情况。各种并发症186例,有些患者同时存在2～5种并发症,故总数为284人次。对感音性耳聋、耳周围脓肿、迷路瘘管、脑膜炎、乙状窦周围病变、脑脓肿等六种并发症的治疗预防进行深入的讨论。

In order to accumulate the experiences in the treatament of Chronic Otitis media (COM), 186 cases of Otogenic intracranial and extracranial complications in 505 cases after mastoidectomies, done in our Hospital, were analyzed. The rate of complications was 36.8% in all COM cases in 110 cases there were mono-Complications (59.2%), while some cases simultaneously suffered from 2—5 types of complications, the socalled multi-complications (40.2%). The rate of intracranial complications was very low, only 15.8%, but more seious. The mechanisms for forming cholesteatoma and common complications were discussed.