A case of bilateral mastoiditis with subperiosteal abscesses complicating acute otitis media in a two and a half year old girl is presented. Contrast enhanced computerized tomography confirmed the diagnosis of right lateral sinus thrombosis. The aetiology, diagnosis and management of these conditions are discussed.
Tracheoesophageal speech results in a Third World community equate with those in the Developed World. All patients who undergo laryngectomy and have adequate manual dexterity and cognitive function should be given a trial of fistula speech. Removable voice prostheses can successfully be used as indwelling prostheses.
This case illustrates the importance of a multidisciplinary approach in the management of a pregnant patient presenting with severe epistaxis, and highlights the surgical challenges presented in such a situation.
Cerebrospinal fluid (CSF) rhinorrhea after a septoplasty procedure isvery rare andpotentially life-threatening. We presentacase ofiatrogenicpostseptoplasty CSF rhinorrhea. To the best of our knowledge, only2 other cases of CSF rhinorrhea complicating septoplasty have previously been reported. However, neither resolved in themanner thatour case did, when spontaneous cessation of CSF rhinorrhea unexpectedly occurred upon removal ofintranasal splints. We discuss theclinical importance ofanatomic variations and potential causative mechanisms of CSF rhinorrhea during septoplasty. Ourexperience with thiscase suggests a mechanism of injuryto thecribiform plateduring septoplasty that has not been described previously.
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