Fifteen cases of inferior temporal fossa abscess: their trends and appropriateness of the surgical approach

Q3 Medicine

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI:10.1016/j.otot.2023.11.001

Aiko Kishino MD, Sawako Kawata PhD, Yuki Takeyama MD, Kumiko Edakawa MD, Naoki Takahashi PhD

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Abstract

We aimed to elucidate the management of abscesses extending into the inferior temporal fossa and highlight our surgical approach for these cases. Furthermore, we investigated the epidemiological aspects of this ailment, which are sparsely reported. We comprehensively assessed 15 patients with inferior temporal fossa abscesses who presented to our department between March 2003 and March 2023. Trismus was the most common symptom, while fever was not prominent. The mean age at onset was 78 years, and 73% of the patients were male. Diabetes mellitus was present in 73% of patients, and 86% of patients had an odontogenic source of infection. The mean duration of drainage was 25.4 days, antimicrobial therapy was 18.4 days, and hospitalization was 43.9 days. Abscesses extending into the inferior temporal fossa are typically caused by odontogenic factors and commonly result in trismus. Our surgical approach was effective and none of the patients required revision surgery.

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15 例颞下窝脓肿：其发展趋势和手术方法的适宜性

我们的目的是阐明颞下窝脓肿的治疗方法，并强调我们对这些病例的手术方法。此外，我们还调查了这种疾病的流行病学方面，因为这方面的报道很少。我们全面评估了 2003 年 3 月至 2023 年 3 月期间到我科就诊的 15 名颞下窝脓肿患者。三叉神经痛是最常见的症状，而发热并不突出。发病时的平均年龄为 78 岁，73% 的患者为男性。73%的患者患有糖尿病，86%的患者有牙源性感染源。平均引流时间为 25.4 天，抗菌治疗时间为 18.4 天，住院时间为 43.9 天。延伸至颞下窝的脓肿通常是由牙源性因素引起的，通常会导致三叉神经痛。我们的手术方法非常有效，没有一名患者需要进行翻修手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Operative Techniques in Otolaryngology - Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.70

自引率

0.00%

发文量

审稿时长

43 days

期刊介绍： This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.