title: An unusual case of complicated temporal lobe abscess following tympanomastoidectomy.
abstract: We report a unusual case of complicated temporal lobe abscess following tympanomastoidectomy in a 26-year-old Chinese man here. The patient complained of binaural recurrent purulent discharge accompanied by hearing loss more than 10 years, then he received a right tympanomastoidectomy three months ago, but 3 weeks after surgery, he started to experience fierce headache and nausea and so on. The CT and MRI suggested the diagnosis of right temporal lobe abscess and then right temporal lobe abscess was excised. The patient was successfully treated with a right temporal lobe abscess resection and a radical right mastoidectomy. Although the cerebral abscess following radical tympanomastoidectomy are extremely rare, we should pay attention to it. we suggest the main reasons was still suffering from purulent discharge in the ear after the first tympanomastoidectomy, the granulation and cholesteatoma failed to completely remove during the first operation. and even resulted in substantial bone defect. It is well-known that good drainage is a key to reduce intra-cranial complications.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, The Second Xiangya Hospital, Central South University Changsha, Hunan, China, 410011.
authors.forename: Tuanfang
authors.initials: T
authors.lastname: Yin
authors.forename: Jihao
authors.initials: J
authors.lastname: Ren
authors.forename: Yongde
authors.initials: Y
authors.lastname: Lu
authors.forename: Xing
authors.initials: X
authors.lastname: Chen
authors.forename: Yaowen
authors.initials: Y
authors.lastname: Wang
authors.forename: Fengying
authors.initials: F
authors.lastname: Huang
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001922:Brain Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008416:Mastoid / Q000601:surgery*; D010027:Osteotomy / Q000009:adverse effects*; D011237:Predictive Value of Tests; D012086:Reoperation; D013702:Temporal Lobe / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014432:Tympanic Membrane / Q000601:surgery*; D014433:Tympanoplasty / Q000009:adverse effects*
chemical_list: D000893:Anti-Inflammatory Agents
keywords: Tympanomastoidectomy; brain abscess; cholesteatoma; diagnosis; otitis media; treatment