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Query: UMLS:C0262471 (ENT)
 5,307 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The problem of otogenic intracranial complications is very important for medical practice. This paper presents data on the incidence, clinical development and outcome of intracranial complications of purulent otitis media. During 1979-1988 the ENT Department of the City First Aid Hospital treated 82 patients with otogenic intracranial complications, which developed often in the case of acute than chronic otitis media. The lethality rate caused by otogenic meningitis and meningoencephalitis was 0.95% in the patients with acute otitis media and 0.5% in the patients with chronic otitis media. In view of this, it is recommended to extend the list of indications for hospitalization of patients with acute otitis media. It is strongly recommended to admit to hospitals patients with acute otitis media caused by severe flu, pregnant women, patients with severe visceral pathologies, and old age patients.
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PMID:[Otogenic intracranial complications in an urban emergency service hospital]. 215 Jan 38

The brain abscess is not frequent in childhood. However, they have important and serious consequences. We have studied the natural history of fifteen cases, emphasizing the situations in which they appear with the purpose to avoid them. Our results are similar to those of other series in regard to the etiology, manifestations, diagnosis and treatment. The incidence was greater in males (66.6%) and between 10 to 15 years of age (53.3%). ENT infections and meningoencephalitis were the main origin in the same proportion (33.3%), followed by cyanotic congenital heart diseases (13.3%). Mortality rate was 20% and two survivors (13.3%) showed very important motor sequel. One of them (6.6%), also had a partial epilepsy. Our results recall the need for a better knowledge of pathogenesis and treatment of these patients.
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PMID:[Cerebral abscess in childhood]. 323 93

Of 20 males and 2 females aged 18-40 wounded in the ear region and admitted to ENT hospitals, 68% had fragmentation effects, 32% gun wounds, 83% combined injuries. Damage to the temporal bone took place in 66.5%. Foreign body (bullet or fragment) was present in half of the cases. Facial paralysis, unilateral deafness have developed in 40% and 2/3 of the victims, respectively. Advanced otiatric and neurological methods warranted removal of the foreign bodies in all the cases, filling of temporal bone defects with island neurovascular flap from the musculus nutans and musculus temporalis. Lethal outcome due to meningoencephalitis occurred in one case only.
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PMID:[Treatment of gunshot wounds of the ear]. 855 16

Melioidosis is a potentially deadly infection that can affect any organ system. Reports of melioidosis of the ENT/head and neck region are relatively uncommon. Four cases are presented: (i) parotid abscess evolving into necrotising fasciitis, (ii) acute sinusitis and parapharyngeal cellulitis resulting in upper airway obstruction, (iii) acute suppurative lymphadenitis (iv) and chronic suppurative otitis media causing meningoencephalitis. Three of the four cases are believed to be unique, as a literature review of melioidosis in ENT/head and neck is also presented. Some practical issues of management are also discussed. Not suspecting melioidosis does not change contemporary empirical broadspectrum antibiotic therapy. The value of suspicion or on confirmation of diagnosis lies in anticipating and planning for rapid change.
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PMID:Melioidosis of the head and neck. 1201 68

Kikuchi-Fujimoto disease, described for the first time in 1972, is an unusual diagnosis that is characterized by lymph node enlargement and fever. Cervical lymph nodes are affected so often that ENT specialists should be aware of this entity during differential diagnosis. The diagnosis was done by histological features, necrotizing lymphadenitis. The disease is self-limited and it has good prognosis. We have reviewed two cases in our hospital. We report an aseptic meningoencephalitis as a rare complication.
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PMID:[Kikuchi-Fujimoto disease: report of two cases]. 1661 70