結核性中耳炎併發Bezold氏膿瘍－病例報告

Tuberculous Otitis Media Complicated with Bezold's Abscess – Case Report

陳重光(Chung-Kuang Chen) ； 龔金根(Jin-Gen Gong) ； 范盛欽(Sheng-Chin Fan)

《中華民國耳鼻喉科醫學會雜誌》 33卷1期 (1998/02) Pp. 71-76

https://doi.org/10.6286/1998.33.1.71

摘要

結核性中耳炎是一少見的疾病，可以藥物治療但早期診斷困難，唯有靠耳鼻喉科醫師對結核性中耳炎的認識及高度的警覺心。當懷疑有結核性中耳炎的可能性時，應做組織切片檢查，以確定診斷。延遲治療導至併發症的產生，例如急性乳突炎、顏面神經麻痺、迷路炎、瘻管形成或感染擴及中樞神經系統，則必須手術治療，本文報告1名45歲男性，為結核性中耳炎併發有Bezold氏膿瘍，經改良型乳突概治切除術和頸部膿瘍切開引流術治療。術後給與抗結核藥物6個月，至今恢復情況良好。

關鍵字

結核性中耳炎 ； Bezold氏膿瘍 ； 改良型乳突根治切除術

並列摘要

Tuberculous Otitis Media is a treatable disease of low incidence. However, early detection is difficult because the symptoms and signs are usually nonspecific. The diagnosis thus depends on a high index of suspicion of this disease, and histological examination of the pathological tissue is necessary in making it correct. Chemotherapy is enough but surgery should be added if complicated with acute mastoiditis, suspected cholesteatoma, facial play, labyrinthitis, fistula formation, or extension of the infection into the central nervous system.
In this paper we reported a 45-year-old male, who had tuberculous otitis media complicated with Bezold’s abscess. Initially modified radical mastoidectomy and drainage of the neck abscess were performed. Postoperatively anti-tuberculous chemotherapy was givern for six months. The ear and the neck lesion healed without further complication.

並列關鍵字

Tuberculous otitis media ； Bezold's abscess ； modified radical mastoidectomy