14例儿童耳后骨膜下脓肿临床分析  

Clinical analysis of 14 cases of retroauricular subperiosteal abscesses in children

作　　者：杨博[1] 张芳[2] 臧健[1] 田颖[1] 杨宁[1] 惠莲[1] 姜学钧[1] YANG Bo;ZHANG Fang;ZANG Jiang;TIAN Ying;YANG Ning;HUI Lian;JIANG Xuejun(Department of Otolaryngology Head and Neck Surgery,the First Affiliated Hospital of China Medical University,Liaoning,Shenyang,110001,China;Department of Otolaryngology Head and Neck Surgery,the Fourth Affiliated Hospital of China Medical University,Liaoning,Shenyang,110032,China)

机构地区：[1]中国医科大学附属第一医院耳鼻咽喉头颈外科,辽宁沈阳110001 [2]中国医科大学附属第四医院耳鼻咽喉头颈外科,辽宁沈阳110032

出　　处：《中国耳鼻咽喉头颈外科》2021年第11期701-704,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨儿童耳后骨膜下脓肿的临床特点及治疗方案。方法回顾性分析2013年9月~2018年2月行手术治疗的14例儿童耳后骨膜下脓肿患者的临床资料。结果学龄前儿童9例,学龄期儿童5例,均继发于急性中耳炎。与学龄期儿童相比,学龄前儿童病程短、炎症重、进展快。所有患者均行完壁式乳突开放术+上鼓室开放术±鼓膜切开术/鼓膜置管术。随访期间均未复发。结论儿童耳后骨膜下脓肿常继发于急性中耳炎,好发于学龄前儿童。完壁式乳突开放术+上鼓室开放术+鼓膜切开术/鼓膜置管术是有效的治疗方式。OBJECTIVE To investigate the clinical features and treatment of retroauricular subperiosteal abscesses in children.METHODS The clinical data of 14 children with retroauricular subperiosteal abscess treated from September 2013 to February 2018 were analyzed.RESULTS There were 9 preschoolers and 5 school-age children.All the cases were secondary to acute suppurative otitis media.All the patients were treated by simple mastoidectomy+atticoantrotomy±myringotomy/grommet insertion.There was no recurrence in all patients.CONCLUSIONIn children,retroauricular subperiosteal abscesses is more likely to occur in preschoolers,secondary to acute otitis media.Mastoidectomy+atticoantrotomy+grommet insertion/myringotomy is an effective treatment.

关 键 词：中耳炎 乳突 骨膜下脓肿 乳突开放术 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]