Surgical corridors for congenital aural atresia with otogenic cerebellar abscess and lateral sinus thrombosis

The following is a case report of an adolescent with mental retardation who had congenital aural atresia with contralateral congenital facial palsy. She developed multiple intracranial complications (cerebellar abscess and lateral sinus thrombosis) due to cholesteatoma. We managed her in a multidisciplinary approach. This report discusses case management, emphasising the meticulous intraoperative steps taken in identifying the landmarks and precautions adopted to avoid postoperative facial palsy and other complications.

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A Temporal Bone from a Case of Tuberculous Lateral Sinus Thrombosis and Extra-cerebellar Abscess

Proceedings of the Royal Society of Medicine ◽

10.1177/003591572301601203 ◽

1923 ◽

Vol 16 (Otol_Sect) ◽

pp. 5-6

Author(s):

E. D. D. Davis

Keyword(s):

Temporal Bone ◽

Sinus Thrombosis ◽

Lateral Sinus ◽

Lateral Sinus Thrombosis ◽

Cerebellar Abscess

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S250 – Otogenic Lateral Sinus Thrombosis: A Review of 7 Cases

Otolaryngology ◽

10.1016/j.otohns.2008.05.426 ◽

2008 ◽

Vol 139 (2_suppl) ◽

pp. P158-P159 ◽

Cited By ~ 1

Author(s):

Jesse T. Ryan ◽

Diego A Preciado ◽

Maria T Pena ◽

George H Zalzal

Keyword(s):

Cavernous Sinus ◽

Sinus Thrombosis ◽

Case Series ◽

Sigmoid Sinus ◽

Tube Placement ◽

Right Visual Field ◽

Lateral Sinus ◽

Cavernous Sinus Thrombosis ◽

Lateral Sinus Thrombosis ◽

Intracranial Complications

Objectives Otogenic lateral sinus thrombosis (LST) is a rare but serious intracranial complication of acute or chronic otitis media (OM). Mortality rates for LST are quoted as 8–25% in most recent larger case series. Controversy exists regarding the surgical and medical management of LST. We sought to clarify this by reviewing our experience in patients who presented with otogenic LST in the past 5 years. Methods A retrospective chart review was conducted. 7 patients were identified and charts were examined for presentation, co-existing intracranial complications, treatment, cultured organisms, and outcome. Results Patients most commonly presented with fever (5/7), otalgia (5/7), and mastoid tenderness (4/7). Co-existing intracranial complications were present in 4/7 patients, including meningitis (1/7), epidural abscess (2/7), otitic hydrocephalus (2/7), and cavernous sinus thrombosis (1/7). All patients received IV antibiotics and underwent mastoidectomy with unroofing of the sigmoid sinus, and tympanostomy tube placement. Thrombectomy was not performed on any patient. Anticoagulation was used on 5/7 patients without complication. Streptococcus sp. was the most common organism isolated (2/7). All patients recovered well without major sequelae. One patient with cavernous sinus thrombosis and otitic hydrocephalus had a persistent right visual field deficit. Conclusions In this limited series, we demonstrate good outcomes by emergently treating LST from an otitic source with mastoidectomy and unroofing of the sigmoid sinus, IV antibiotics, and selective anticoagulation. We did not find thrombectomy to be necessary.

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Lateral sinus thrombosis following myringoplasty: a rare complication

The Journal of Laryngology & Otology ◽

10.1017/s0022215112002216 ◽

2012 ◽

Vol 127 (S1) ◽

pp. S39-S41 ◽

Cited By ~ 1

Author(s):

G Sim ◽

F Lannigan

Keyword(s):

Case Report ◽

Mortality Rate ◽

Otitis Media ◽

High Mortality ◽

Sinus Thrombosis ◽

Rare Complication ◽

Lateral Sinus ◽

Lateral Sinus Thrombosis ◽

Life Threatening ◽

Life Threatening Complication

AbstractObjective:We report lateral sinus thrombosis occurring as a rare complication following a routine and uneventful otological procedure.Case report:Lateral sinus thrombosis is a rare but known complication of otitis media. It has not been documented as a complication of routine otological surgery. We present a case of this rare complication following a myringoplasty. We also discuss the presentation, investigation and treatment of lateral sinus thrombosis. It is essential to be able to recognise and treat this rare complication early, due to its high mortality rate.Conclusion:Lateral sinus thrombosis is a rare but potentially life-threatening complication. It is therefore essential for clinicians to be able to recognise and treat this condition early.

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