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Lateral sinus thrombosis: A major problem still with us

B Viswanatha1

  • 1Dept. of ENT, Victoria Hospital and Bangalore, MedicalCollege, Bangalore, 560 002 Karnataka India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed

Insights

Early treatment of lateral sinus thrombosis, a complication of chronic otitis media, with antibiotics and surgery leads to good outcomes. This study reports twelve cases with no deaths, highlighting the effectiveness of prompt medical and surgical intervention.

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Infectious Diseases

Background:

  • Lateral sinus thrombosis is a serious complication of chronic otitis media.
  • Atticoantral type chronic otitis media is a common predisposing factor.
  • Prompt diagnosis and management are crucial for favorable outcomes.

Purpose of the Study:

  • To report on the management and outcomes of twelve cases of lateral sinus thrombosis.
  • To emphasize the importance of early and aggressive treatment strategies.
  • To evaluate the efficacy of broad-spectrum antibiotics and surgical intervention.

Main Methods:

  • Retrospective review of twelve patients with lateral sinus thrombosis.
  • All patients received broad-spectrum intravenous antibiotics.
  • All patients underwent radical mastoidectomy with lateral sinus incision and thrombectomy.

Main Results:

  • Twelve cases of lateral sinus thrombosis were successfully managed.
  • No mortality was observed in the study cohort.
  • Early intervention with antibiotics and surgery resulted in positive patient outcomes.

Conclusions:

  • Lateral sinus thrombosis, though a severe complication, is manageable with a combination of antibiotics and surgery.
  • The prognosis for lateral sinus thrombosis is favorable when treatment is initiated promptly.
  • Radical mastoidectomy with sinus exploration and decompression is an effective surgical approach.
Keywords:
Lateral sinus thrombosisRadical mastoidectomyThrombus

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