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Int J Clin Exp Pathol 2013;6(7):1445-1447

Case Report
An unusual case of complicated temporal lobe abscess following
tympanomastoidectomy

Tuanfang Yin, Jihao Ren, Yongde Lu, Xing Chen, Yaowen Wang, Fengying Huang

Department of Otolaryngology Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China,
410011; Department of Obstetrics and Gynecology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China, 410011

Received May 11, 2013; Accepted May 26, 2013; Epub June 15, 2013; Published July 1, 2013

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.
(IJCEP1305011).

Keywords: Tympanomastoidectomy, otitis media, cholesteatoma, brain abscess, diagnosis, treatment

Address correspondence to: Dr. Fengying Huang, Department of Obstetrics and Gynecology, The Second Xiangya Hospital, Central South
University, Changsha, Hunan, China, 410011. Tel: +8613874870394; E-mail: hfy6697@163.com