Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (5): 108-113.doi: 10.6040/j.issn.1673-3770.0.2024.009

• Original Article • Previous Articles    

A case of temporal bone hypercavitation with infectious shock and review of the literature

XIE Xian1,2, CHEN Yi2, LIU Bin2, XIAO Xuping2, LI Xiangsheng1   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, Changsha Hospital of Hunan Normal University, The Fourth Hospital of Changsha, Changsha 410006, Hunan, China2. Department of Otorhinolaryngology & Head and Neck Surgery, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, Changsha 410005, Hunan, China
  • Published:2025-09-19

PDF (PC)

12

Abstract: Objective To investigate the surgical treatment of infectious shock due to otitis media infection which extended to the hyperpneumatized rock and occipital bone, and to study the pathogenesis of temporal bone hyperpneumatization at the same time. Methods After the diagnosis was clarified, "mastoid exploration + open mastoidectomy + rocky tip skull base abscess drainage" was performed under general anaesthesia, and due to the emergence of a dry ear after discharge from the hospital, "left ventral wall fat skull base airspace tamponade + external ear canal closure" was performed under general anaesthesia again. The clinical data of otitis media with infectious shock due to cold in patients with temporal bone hyperpneumatisation were reviewed and the literature was reviewed. Results The patient's postoperative incision healed in second stage and there was no recurrence in two years of follow-up. Conclusion Temporal bone and occipital bone hypercavitation with toxic shock is extremely rare,and early surgery and abscess drainage are the mainstay of treatment.

Key words: Temporal bone hyperpneumatization, Infectious shock, Mastoidectomy, Drainage of an abscess, Otogenic sigmoid sinus thrombophlebitis

CLC Number: 

  • R764.9+2
[1] Allam AF. Pneumatization of the temporal bone[J]. Ann Otol Rhinol Laryngol, 1969, 78(1): 49-64. doi:10.1177/000348946907800105
[2] 卢飞燕, 卢永田, 周俊伟, 等. 内镜下经外耳道耳蜗下径路切除岩尖病变的应用解剖学研究[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 62-68. doi:10.6040/j.issn.1673-3770.0.2019.177 LU Feiyan, LU Yongtian, ZHOU Junwei, et al. Applied anatomy of endoscopic resection of the petrous apex through the transcanal infracochlear approach[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 62-68. doi:10.6040/j.issn.1673-3770.0.2019.177
[3] Han SJ, Song MH, Kim J, et al. Classification of temporal bone pneumatization based on sigmoid sinus using computed tomography[J]. Clin Radiol, 2007, 62(11): 1110-1118. doi:10.1016/j.crad.2007.04.019
[4] Jadhav AB, Fellows D, Hand AR, et al. Classification and volumetric analysis of temporal bone pneumatization using cone beam computed tomography[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2014, 117(3): 376-384. doi:10.1016/j.oooo.2013.12.398
[5] Aladeyelu OS, Rennie CO, Schlemmer K, et al. An inter-observer assessment of mastoid pneumatization and degree classification using sigmoid sinus: comparing two levels of temporal bone computed tomograms[J]. Surg Radiol Anat, 2023, 45(6): 747-756. doi:10.1007/s00276-023-03130-x
[6] Ilea A, Butnaru A, Sfrangeu SA, et al. Temporal bone trauma effects on auditory anatomical structures in mastoid obliteration[J]. Eur Arch Otorhinolaryngol, 2019, 276(2): 513-520. doi:10.1007/s00405-018-5227-6
[7] Kang TK, Ha R, Oh JH, et al. The potential protective effects of temporal bone pneumatization: a shock absorber in temporal bone fracture[J]. PLoS One, 2019, 14(5): 0217682. doi:10.1371/journal.pone.0217682
[8] Rebol J, Munda A, Tos M. Hyperpneumatization of the temporal, occipital and parietal bones[J]. Eur Arch Otorhinolaryngol, 2004, 261(8): 445-448. doi:10.1007/s00405-003-0716-6
[9] Madeline LA, Elster AD. Suture closure in the human chondrocranium: CT assessment[J]. Radiology, 1995, 196(3): 747-756. doi:10.1148/radiology.196.3.7644639
[10] 黄选兆, 汪吉宝, 孔维佳. 实用耳鼻咽喉头颈外科学[M]. 第2版. 北京:人民卫生出版社, 2008, 23(2): 918-919
[11] 陆金山, 艾合买提江·艾力江, 艾帕都拉·艾斯拉, 等. 耳源性乙状窦血栓性静脉炎的诊治分析[J]. 临床耳鼻咽喉头颈外科杂志, 2023, 37(2): 116-121. doi:10.13201/j.issn.2096-7993.2023.02.008 LU Jinshan, Aihemaitijiang A, Aipadoula A, et al. Diagnosis and treatment of otogenic sigmoid sinus thrombophlebitis[J]. J Clin Otorhinolaryngol Head Neck Surg(China), 2023, 37(2): 116-121. doi:10.13201/j.issn.2096-7993.2023.02.008
[12] 陈树斌, 杨本涛, 于子龙, 等. 耳源性乙状窦血栓性静脉炎CT及MRI表现[J]. 中国耳鼻咽喉头颈外科, 2018, 25(2): 79-82. doi:10.16066/j.1672-7002.2018.02.006 CHEN Shubin, YANG Bentao, YU Zilong, et al. CT and MRI findings of otogenic sigmoid sinus thrombophlebitis[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2018, 25(2): 79-82. doi:10.16066/j.1672-7002.2018.02.006
[13] Patil S, Trinidade A, Wong B, et al. Secondary obliteration surgery for troublesome mastoid cavities: a prospective series of 228 pediatric and adult cases[J]. and, 2021, 42(7): 881-886. doi:10.1097/MAO.0000000000003114
[14] van der Toom HFE, van der Schroeff MP, Molenaar TL, et al. Revision surgery for chronically discharging mastoid cavities: mastoid obliteration with canal wall reconstruction versus non-obliteration surgery[J]. Eur Arch Otorhinolaryngol, 2022, 279(8): 3881-3889. doi:10.1007/s00405-021-07138-0
[15] Geerse S, de Haan RJ, Ebbens FA, et al. Surgical results and quality of life after subtotal petrosectomy[J]. Eur Arch Oto Rhino Laryngol, 2023, 280(1): 61-68. doi:10.1007/s00405-022-07443-2
[16] Geerse S, Bost TJM, Allagul S, et al. Hearing and hearing rehabilitation after obliteration of troublesome mastoid cavities[J]. Eur Arch Otorhinolaryngol, 2020, 277(12): 3307-3313. doi:10.1007/s00405-020-06041-4
[17] Prasad SC, Roustan V, Piras G, et al. Subtotal petrosectomy: surgical technique, indications, outcomes, and comprehensive review of literature[J]. Laryngoscope, 2017, 127(12): 2833-2842. doi:10.1002/lary.26533
[1] ZHAI Guanhong, YU Sihan, ZHANG Zhiqiang, YU Changxu, CUI Zhezhu. Analysis of postoperative efficacy of middle ear cholesteatoma complicated with facial paralysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 20-25.
[2] ZHU Jun, NIE RuyaOverview,LI GuoyiGuidance. The advances in application of mastoid obliteration materials in mastoidectomy canal wall down with tympanoplasty [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 111-116.
[3] WEN Liting, LI Xu, GAO Wei, HU Tianyong, ZENG Xianhai, ZHA Dingjun. An analysis of the clinical characteristics of delayed facial paralysis following middle ear surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 1-5.
[4] LI Dongfang. Application of pedicle temporal muscle flap in the treatment of secondary radical mastectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 13-16.
[5] WANG Fengjuan, LI Chuangang, FAN Xianliang. General anesthesia without muscle relaxant for microsurgery of radical mastoidectomy (30 cases report). [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(4): 25-27.
[6] CHEN Ze, ZHONG Zhao-tang, LIANG Min-zhi. Application of anterior wall of external auditory canal ardrum flap for open tympanoplasty in 31 patients [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 11-15.
[7] SU Li-sha, LI Zhi-yong, FANG Xue, YANG Xiang, LUO De-yan. Effect of Nasopore as packing material for middle ear surgery in 33 chronic otitis media patients [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(4): 22-25.
[8] LI Shao-hua, SUN Yi-fan, LU Biao-qing. Application of double vascularized soft tissue flap in open radical mastoidectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 6-7.
[9] ZHANG Kai-chang. Therapeutic effect of intact bone external auditory canal myringoplasty on patients with cholesteatoma tymapanitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(2): 34-36.
[10] KE Zhaoyang， GONG Taogen， YANG Mingbao. Application of Otorhinlaryngology,The Second Clinical College of Jinan University,Shenzhen People's Hospital,Shenzhen 518020,Guangdong,China [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(2): 21-23.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd