Otologic features of bacterial meningitis of childhood.
Otologic features of bacterial meningitis of childhood.
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儿童细菌性脑膜炎的耳科特征。
DOI：
10.1016/s0022-3476(85)80664-8
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发表时间：
1985
期刊：
影响因子：
--
通讯作者：
Gonzalez-Pineda,M
中科院分区：
文献类型：
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作者：
Eavey,RD;Gao,YZ;Schuknecht,HF;Gonzalez-Pineda,M
对八名死于脑膜炎的儿童的十六块颞骨进行了组织病理学评估。 14 块骨头并发急性中耳炎。在任何情况下都无法找到从鼓室乳突室到颅内腔的感染途径。此外，内耳感染似乎是细菌从脑膜逆行侵入的结果，而不是通过中耳或乳突接种的结果。如果需要手术引流，组织病理学结果表明乳突切除术与鼓膜切开术相比几乎没有优势。我们推断，颞骨解剖结构正常的儿童可能不会因急性中耳炎通过直接延伸途径而患上细菌性脑膜炎。
Sixteen temporal bones from eight children who had died of meningitis were histopathologically evaluated. Concurrent acute otitis media was demonstrated in 14 bones. In no case could a pathway of infection from the tympanomastoid compartment to the intracranial cavity be located. Further, inner ear infection appeared to be the result of retrograde bacterial invasion from the meninges rather than from an inoculation via the middle ear or mastoid. Should surgical drainage be required, the histopathologic findings indicate that mastoidectomy would have little advantage over myringotomy. We infer that a child with normal temporal bone anatomy is probably not at enhanced risk for development of bacterial meningitis from acute otitis media via a route of direct extension.