Otorrhea as a Sign of Medical Treatment Failure in Acute Otitis Media: Two Cases with Silent Mastoiditis Complicated with Facial Palsy

被引：1

作者：

Tsai, Tzu-Chun ^{[1
,2
]}

Yu, Pang-Mien ^{[3
]}

Tang, Ren-Bin ^{[2
,4
]}

Wang, Hsin-Kai ^{[2
,4
]}

Chang, Ke-Chang ^{[1
,2
]}

机构：

[1] Natl Yang Ming Univ Hosp, Dept Pediat & Otorhinolaryngol, Yilan, Taiwan

[2] Natl Yang Ming Univ, Inst Clin Med, Taipei 112, Taiwan

[3] Lotung Pohai Hosp, Dept Pediat, Yilan, Taiwan

[4] Taipei Vet Gen Hosp, Dept Pediat & Radiol, Taipei, Taiwan

来源：

PEDIATRICS AND NEONATOLOGY | 2013年 / 54卷 / 05期

关键词：

facial palsy; mastoiditis; otitis media; otorrhea; Streptococcus pneumoniae; NERVE PARALYSIS; CHILDREN;

D O I：

10.1016/j.pedneo.2013.03.005

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

We report two children with otitis media who developed facial palsy despite prompt antibiotic therapy. Brain images revealed silent mastoiditis. Persistent otorrhea may be a cautious sign of medical treatment failure or complication of acute otitis media, including mastoiditis or facial palsy. Delayed identification of coexisting mastoiditis or hesitation over surgical intervention may lead to treatment failure and complications. Adequate intravenous antibiotics and myringotomy provide reasonable and appropriate management to prevent permanent sequelae. Copyright (C) 2013, Taiwan Pediatric Association. Published by Elsevier Taiwan LLC. All rights reserved.

引用

页码：335 / 338

页数：4

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