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Published on: May 23, 2021
Management of otogenic brain abscess using the transmastoid approach
June Choi1, Jong Il Choi2, Sang-Dae Kim2
1Department of Otorhinolaryngology-Head & Neck Surgery, Korea University Ansan Hospital, Ansan, Korea.
Abstract:
Despite significant advances in the treatment of all forms of chronic otitis media (COM), complications still can and do occur, with intracranial complications representing the most life-threatening cases, often requiring immediate therapeutic intervention. Herein, we present a rare case of rapidly progressing facial paralysis with concomitant severe headache and ipsilateral hearing loss secondary to an otogenic brain abscess, treated with the transmastoid approach, drainage, and facial nerve decompression.
Insights
Chronic otitis media (COM) can lead to life-threatening intracranial complications. This case highlights successful treatment of a rare otogenic brain abscess causing facial paralysis and hearing loss.
Area of Science:
- Otolaryngology
- Neurosurgery
- Infectious Diseases
Background:
- Chronic otitis media (COM) remains a significant clinical challenge.
- Intracranial complications of COM are rare but life-threatening.
- Prompt diagnosis and intervention are crucial for managing COM sequelae.
Observation:
- A rare case of rapidly progressing facial paralysis is presented.
- The patient experienced severe headache and ipsilateral hearing loss.
- These symptoms were secondary to an otogenic brain abscess.
Findings:
- The otogenic brain abscess was successfully treated.
- Treatment involved a transmastoid approach, abscess drainage, and facial nerve decompression.
- This multidisciplinary approach led to favorable outcomes.
Implications:
- This case underscores the importance of vigilance for intracranial complications in COM patients.
- Early recognition and surgical management are vital for preventing severe morbidity and mortality.
- Effective treatment strategies can be achieved through combined otologic and neurosurgical interventions.
