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Chronic Purulent Otorrhea in the South of the Sahara: Epidemiological, Clinical and Therapeutic Profiles about 135 Cases
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作者 Kassim Diarra N’faly Konaté +7 位作者 Youssou Sidibé Famagan Bah Boubacary Guindo Siaka Soumaoro Drissa Kaloga Bagayoko Fatogoma Issa Koné Doumbia Kadidiatou Singare Mohamed Amadou Keita 《International Journal of Otolaryngology and Head & Neck Surgery》 2022年第4期219-226,共8页
Objective: To study the clinical and therapeutic epidemiological profile of chronic purulent otorrhea in the ENT and CCF departments of the Gabriel Touré university hospital. Materials and Method: This was a retr... Objective: To study the clinical and therapeutic epidemiological profile of chronic purulent otorrhea in the ENT and CCF departments of the Gabriel Touré university hospital. Materials and Method: This was a retrospective study from May 2019 to April 2021. We made an exhaustive sampling of all patients who consulted for chronic purulent otorrhea with a complete medical file. All ages were included (except from 0 to - 5 years), and all sexes combined. The data medium was the patient records and the department’s operating report register. The non-inclusion criteria were patients with incomplete files and patients who were less than 5 years old. Results: In total, we collected 135 cases. The average age of our patients was 29.27 years. The most represented age group was 16 to 25 years old. We noted a male predominance in 60.7%. The associated signs found were hearing loss, earache, tinnitus, ear pruritus, vertigo, headache and facial paralysis. The main pathology involved is chronic otitis media (CMO) in 55.5%, the most serious of which is dangerous chronic otitis (8.1%). All of our patients have received medical treatment. The treatment was surgical in 64% of patients after medical treatment. With the mean follow-up of 6 months, tinnitus and reperforation were the most common complications found in 6.2% and 3.1% respectively. Conclusion: Chronic purulent otorrhea is the most common ear discharge in ENT consultation. The main pathology involved is CMO, the most formidable of which is cholesteatoma. Medico-surgical treatment. 展开更多
关键词 chronic otorrhea CHOLESTEATOMA MYRINGOPLASTY BAMAKO
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法医学视角下化脓性中耳炎伴外伤性脑脊液耳漏的鉴定
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作者 王耀锋 谢文娟 王森 《中国卫生法制》 2021年第3期120-123,共4页
慢性化脓性中耳炎伴外伤性脑脊液耳漏发病率低,且神经外科专业性强,一直是法医临床鉴定的难点。以一例典型案例分析,从法医学角度阐述外伤性脑脊液耳漏是什么,发生机制及其如何鉴定。综合运用损伤学、临床医学及影像学等学科知识,结合... 慢性化脓性中耳炎伴外伤性脑脊液耳漏发病率低,且神经外科专业性强,一直是法医临床鉴定的难点。以一例典型案例分析,从法医学角度阐述外伤性脑脊液耳漏是什么,发生机制及其如何鉴定。综合运用损伤学、临床医学及影像学等学科知识,结合相关文献,提出鉴定依据主要为:明确的外伤史,系统全面的辅助检查,确定损伤的部位和程度,伤病关系分析,鉴定时机。首次提出β-2转铁蛋白在法医认定漏出液为脑脊液中的作用,旨在为外伤性脑脊液耳漏的鉴定提供一个较为系统和实用的思路。 展开更多
关键词 法医临床学 颅脑外伤 脑脊液耳漏 慢性化脓性中耳炎 鉴定依据
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