Abstract | OBJECTIVE: A comparison between the literature and our management of pediatric patients presenting with otogenic lateral sinus thrombosis. DESIGN: A retrospective case series of five pediatric patients. SETTING: Four patients were treated at BC Children's Hospital, whereas the fifth patient was treated in New Westminster, BC. All were treated between 1994 and 2001. METHODS: MAIN OUTCOME MEASURES: RESULTS: Five patients, four males and one female, aged 2 to 14 years were reviewed. Three patients were treated successfully without mastoidectomy. One patient received a mastoidectomy that yielded no pus or granulation tissue within the mastoid cavity. One patient required a mastoidectomy after failure to respond to bilateral myringotomy and tympanostomy tube insertion. Although no pus was seen in the mastoid cavity, perisinus pus was found after unroofing the sigmoid sinus plate; free flow of blood was obtained on needle aspiration of the sinus, and the sinus was not surgically opened. CONCLUSION:
|
Authors | Ian Wong, Frederick K Kozak, Ken Poskitt, Jeff P Ludemann, Maureen Harriman |
Journal | The Journal of otolaryngology
(J Otolaryngol)
Vol. 34
Issue 2
Pg. 79-85
(Apr 2005)
ISSN: 0381-6605 [Print] Canada |
PMID | 16076405
(Publication Type: Case Reports, Journal Article, Review)
|
Chemical References |
|
Topics |
- Adolescent
- Anti-Bacterial Agents
(therapeutic use)
- Child
- Child, Preschool
- Female
- Humans
- Injections, Intravenous
- Lateral Sinus Thrombosis
(diagnosis, etiology, therapy)
- Magnetic Resonance Imaging
- Male
- Mastoiditis
(diagnostic imaging, pathology, surgery)
- Otitis Media, Suppurative
(complications)
- Retrospective Studies
- Tomography, X-Ray Computed
|