Clinical Challenges in the Diagnosis and Treatment of Temporal Bone Osteomyelitis
Temporal bone osteomyelitis is a serious life-threatening condition—a quick and proper diagnosis is needed to start treatment and reduce morbidity and mortality. Changing trends of the disease make a differential diagnosis difficult. To emphasize the importance of a clinical suspicion of this danger...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2017/4097973 |
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| author | Liubov Kornilenko Saulius Rocka Svajunas Balseris Irina Arechvo |
| author_facet | Liubov Kornilenko Saulius Rocka Svajunas Balseris Irina Arechvo |
| author_sort | Liubov Kornilenko |
| collection | DOAJ |
| description | Temporal bone osteomyelitis is a serious life-threatening condition—a quick and proper diagnosis is needed to start treatment and reduce morbidity and mortality. Changing trends of the disease make a differential diagnosis difficult. To emphasize the importance of a clinical suspicion of this dangerous condition, our experience with three difficult cases is presented. The diagnosis was based on clinical symptoms, otoscopic findings, and findings on computed tomography or magnetic resonance imaging. Neoplasm and granulomatous inflammation were excluded by multiple biopsies. The disease can develop in nondiabetic patients. The disorder might be related to the initial inflammatory process in the middle ear with further direct spreading of infection through defects in the bony walls to deep temporal bone structures. Imaging should be performed early to detect osteolytic lesions of the skull base. Surgery was used for the presence of bone sequestra and infratemporal abscess. |
| format | Article |
| id | doaj-art-22709442bd6b4fe8abd8055e3206ffc3 |
| institution | OA Journals |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-22709442bd6b4fe8abd8055e3206ffc32025-08-20T02:04:36ZengWileyCase Reports in Otolaryngology2090-67652090-67732017-01-01201710.1155/2017/40979734097973Clinical Challenges in the Diagnosis and Treatment of Temporal Bone OsteomyelitisLiubov Kornilenko0Saulius Rocka1Svajunas Balseris2Irina Arechvo3Faculty of Medicine, Vilnius University, Ciurlionio 21/27, LT-03101 Vilnius, LithuaniaClinic of Neurology and Neurosurgery, Faculty of Medicine, Vilnius University, Siltnamiu 29, LT-04130 Vilnius, LithuaniaDepartment of Ear, Nose and Throat Diseases, Republican Vilnius University Hospital, Siltnamiu 29, LT-04130 Vilnius, LithuaniaDepartment of Ear, Nose and Throat Diseases, Republican Vilnius University Hospital, Siltnamiu 29, LT-04130 Vilnius, LithuaniaTemporal bone osteomyelitis is a serious life-threatening condition—a quick and proper diagnosis is needed to start treatment and reduce morbidity and mortality. Changing trends of the disease make a differential diagnosis difficult. To emphasize the importance of a clinical suspicion of this dangerous condition, our experience with three difficult cases is presented. The diagnosis was based on clinical symptoms, otoscopic findings, and findings on computed tomography or magnetic resonance imaging. Neoplasm and granulomatous inflammation were excluded by multiple biopsies. The disease can develop in nondiabetic patients. The disorder might be related to the initial inflammatory process in the middle ear with further direct spreading of infection through defects in the bony walls to deep temporal bone structures. Imaging should be performed early to detect osteolytic lesions of the skull base. Surgery was used for the presence of bone sequestra and infratemporal abscess.http://dx.doi.org/10.1155/2017/4097973 |
| spellingShingle | Liubov Kornilenko Saulius Rocka Svajunas Balseris Irina Arechvo Clinical Challenges in the Diagnosis and Treatment of Temporal Bone Osteomyelitis Case Reports in Otolaryngology |
| title | Clinical Challenges in the Diagnosis and Treatment of Temporal Bone Osteomyelitis |
| title_full | Clinical Challenges in the Diagnosis and Treatment of Temporal Bone Osteomyelitis |
| title_fullStr | Clinical Challenges in the Diagnosis and Treatment of Temporal Bone Osteomyelitis |
| title_full_unstemmed | Clinical Challenges in the Diagnosis and Treatment of Temporal Bone Osteomyelitis |
| title_short | Clinical Challenges in the Diagnosis and Treatment of Temporal Bone Osteomyelitis |
| title_sort | clinical challenges in the diagnosis and treatment of temporal bone osteomyelitis |
| url | http://dx.doi.org/10.1155/2017/4097973 |
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