消亡性外耳炎扩散的流行病学和风险因素
Elise Krawiec1, Esteban Brenet1, France Truong1
1Departments of Oto-Rhino-Laryngology, University Hospital of Reims, Rue du Général Koenig, 51100, Reims, France.
概括
延迟治疗和失衡的糖尿病增加了死性外耳炎 (OEN) 的风险. 早期识别骨溶解,特别是易于可视化的耳膜,对于OEN病例的及时干预至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 外耳垂死性耳炎 (OEN) 是一种严重的外声介质感染.
- 确定OEN延长的风险因素对于患者的治疗结果至关重要.
研究的目的:
- 确定与死性外耳炎扩散相关的风险因素.
- 调查广泛的OEN的临床和成像预测因素.
主要方法:
- 对被诊断患有OEN的患者进行了回顾性单心研究 (2004-2021年).
- 由炎症的外部声学介质,阳性核成像,阳性细菌学和抗生素治疗失败所定义的OEN.
- 广泛的OEN定义为血管/神经缺陷或成像/骨溶解延伸超出 tympanic 骨.
主要成果:
- 59%的患者患有广泛的OEN,主要是男性 (74%) 和2型糖尿病患者 (72%).
- 伪omonas aeruginosa是最常见的病原体 (88%).
- 发现诊断延迟 (22天),广泛的OEN与外耳周周胀,骨暴露和关节疼痛相关.
结论:
- 延迟OEN治疗,临床骨溶解的存在,容易可视的耳膜和失衡的糖尿病是OEN延长的危险因素.
- 早期检测骨溶解至关重要,特别是当 tympanic 膜清晰可见时.
- 积极治疗糖尿病可能有助于预防OEN的进展.
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