THREE CASES OF OTITIS MEDIA WITH COMPLICATIONS FOCUSING ON A CASE WITH NASOPHARYNGEAL ABSCESS

• Published in: JIBI INKOKA TEMBO Vol. 38; no. 1; pp. 51 - 57
• Main Authors: Nagayama, Ikuo, Horikawa, Isao, Maruyama, Yumiko, Okabe, Yozo
• Format: Journal Article
• Language: Japanese
• Published: Society of Oto-rhino-laryngology Tokyo 15.02.1995
• Subjects: complications; ear disease; nasopharyngeal abscess
• ISSN: 0386-9687; 1883-6429
• DOI: 10.11453/orltokyo1958.38.51

Complications of otitis media are potentially serious and should be treated with appropriate operations as soon as possible. We report three cases of otitis media with complications; one of them had nasopharyngeal abscess which seemed to be an extremely rare complication of otitis media. Case 1 was a 7-month-old baby with postauricular swelling in the left side. His diagnonis was acute mastoiditis accompanying a subperiosteal abscess. He was successfully treated by simple mastoidectomy. Case 2 was a 25-year-old male complaining of headache. His diagnosis was meningitis caused by a cholesteatoma which destroyed surrounding bones. He underwent radical mastoidectomy and recovered uneventfully. Case 3 was a 53-year-old male, who developed neurological disorders, such as soft palate palsy, after preceding symptoms of otorrhea and headache. Serial biopsies of the nasopharynx failed to prove cancer, but led the draining of pus from the site and relieved symptoms. We suspected that an abscess at the pyramidal apex had reached to the nasopharynx to form an advanced abscess recognized as an “internal Bezold abscess”, which we seldom encounter in these days.