Navegando por Palavras-chave "mastoidite"

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    Mastoidite e paralisia facial como manifestações iniciais de Granulomatose de Wegener
    (Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2012-04-01) Maranhão, André Souza de Albuquerque [UNIFESP]; Chen, Vitor Guo [UNIFESP]; Rossini, Bruno Almeida Antunes [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Penido, Norma de Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Wegener's Granulomatosis (WG) is characterized by necrotizing granulomas and vasculitis. If left untreated, the prognosis is poor - a 90% mortality rate within 2 years. Several authors have described the otologic manifestations of WG; these authors, however, have not mentioned the stage of the disease in which these findings present - whether as initial manifestations or subsequent to other findings. Aim: To describe three confirmed cases of WG with mastoiditis as the first manifestation, progressing to peripheral facial paralysis (PFP). Material and Method: A clinical series study. Patients diagnosed with WG that initially presented with otologic findings are described. Results: The three cases presented with unilateral otalgia, otorrhea, and hearing loss associated with ipsilateral PFP. None recovered in spite of the treatment; an investigation of associated diseases was therefore undertaken. Positive ANCA-C titers where detected in all patients, confirming the diagnosis of WG. Clinical improvement was seen after treatment of WG; the PFP regressed and hearing thresholds improved partially. Conclusion: Complications of otitis media (mastoiditis and PFP) that do not respond to the usual treatment require an investigation of associated diseases; WG should be included for an early diagnosis to change the prognosis in these patients.
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    Trombose do seio sigmóide associada à otite média crônica
    (ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2007-04-01) Penido, Norma de Oliveira [UNIFESP]; Toledo, Ronaldo Nunes [UNIFESP]; Silveira, Paula Angélica Lorenzon [UNIFESP]; Munhoz, Mário Sérgio Lei [UNIFESP]; Testa, Jose Ricardo Gurgel [UNIFESP]; Cruz, Oswaldo Laércio Mendonça [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Otogenous lateral sinus thrombosis (OLST) is a rare disease and presents a controversial treatment. AIM: Clinical aspects and treatment were reported based on our experience. METHODS: Retrospective study. Six cases of OLST were treated in our institution in the last ten years. Clinical and imaging data were analyzed. RESULTS: All six patients had the lateral sinus thrombosis detected during image evaluation for other symptoms related to chronic otitis media (COM) complications. Fever, headache and facial paralysis were the main clinical manifestation related to mastoiditis, meningitis and cerebellar abscess. We could not identify, in any case, specific features of lateral sinus thrombosis. In all cases a mastoidectomy was associated with large spectrum antibiotics maintained for 3 months. In three cases anticoagulation therapy was introduced and in three cases anticoagulation was not indicated. All cases presented a good clinical evolution, without sequelae. CONCLUSIONS: OLST is almost always associated with other complications of COM. It is diagnosed almost by accident during the investigative image study. We believe such disease is underestimated. In our experience, OLST presents a benign course, and mastoidectomy with antibiotics is the treatment of choice.