Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-12-02T21:44:25.049Z Has data issue: false hasContentIssue false
  • English
  • Français

Acute and acute-on-chronic mastoiditis

(A five-year experience at Groote Schuur Hospital)

Published online by Cambridge University Press:  29 June 2007

T. J. Mathews
T. J. Mathews*
Affiliation:
Cape Town, South Africa
*
Dr. T. J. Mathews, Department of Otolaryngology, Groote Schuur Hospital, Cape 7925, South Africa
Get access Rights & Permissions [Opens in a new window]

Abstract

One hundred and thirty patients with acute-on-chronic mastoiditis were managed by the ENT Department of Groote Schuur Hospital between 1980 and 1984 inclusive. Seventy-four patients had cholesteatomas, of whom 78.4 per cent had intracranial extension and 44.6 per cent had intradural extension of the infection. In contrast, of the 56 patients without cholesteatomas, only 23.2 per cent had intracranial extension of the infection. These may be rare conditions in some privileged parts of the world but their lethal potential requires all ENT surgeons to be competent in their management.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 2 , February 1988 , pp. 115 - 117
Copyright
Copyright © JLO (1984) Limited 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beales, P. (1978) Pathogenesis of attic cholesteatomas (Editorial). Journal of the Royal Society of Medicine, 71: 707–708.CrossRefGoogle Scholar
Courville, L. B. and Nielsen, J. M. (1934) Intracranial complications of otitis media and mastoiditis: Statistical study with survey of 10,000 necropsies. Acta Otolaryngologica, 21: 19–60.CrossRefGoogle Scholar
Courville, C. B. and Nielsen, J. M. (1955) Symposium: Intracranial complications of otitis media and mastoiditis in the antibiotic era. Laryngoscope, 65: 31–52.Google Scholar
Keet, P. C. and De Villiers, J. C. (1985) Brain and Subdural Abscesses: The outcome from 557 patients treated at Groote Schuur Hospital between 1952 and 1983. Presented at the combined meeting of the Society of British,South African and Spanish Neurological Surgeons,Granada.Google Scholar
Lund, W. S. (1978) A review of 50 cases of intracranial complications from otogenic infection between 1961 and 1977. Clinical Otolaryngology, 3: 495–501.CrossRefGoogle ScholarPubMed
Sadé, J. (1978) Pathogenesis of attic cholesteatomas. Journal of the Royal Society of Medicine, 71: 716–732.CrossRefGoogle ScholarPubMed
Sellars, S. L. (1974) The origins of mastoid surgery. South African Medical Journal, 48: 234–242.Google ScholarPubMed
Samuel, J. and Fernandez, C. M. C. (1985) Otogenic complications with an intact tympanic membrane Laryngoscope, 95: 1385–1390.Google Scholar