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Journal of Medical Case Reports

, 4:151

First Online: 24 May 2010Received: 30 November 2008Accepted: 24 May 2010DOI: 10.1186-1752-1947-4-151

Cite this article as: Kantas, I., Papadopoulou, A., Balatsouras, D.G. et al. J Med Case Reports 2010 4: 151. doi:10.1186-1752-1947-4-151

Abstract

IntroductionTraditional management of Gradenigo-s syndrome requires aggressive and radical surgery without any attempt to preserve hearing. Recent reports, however, describe a successful outcome after conservative surgical intervention without labyrinthectomy. A similar outcome has also been reported in patients who were only prescribed with antibiotics and did not undergo myringotomy.

Case presentationWe report the case of a 24-year-old Caucasian Greek woman with Gradenigo-s syndrome who was treated by draining her petrous apex via an infralabyrithine approach between her posterior semicircular canal and the jugular bulb. Her inner ear was not sacrificed during the procedure. She presented pre-operatively with ipsilateral conductive hearing loss, which recovered completely four weeks after the surgery.

ConclusionsPatients with Gradenigo-s syndrome may be successfully treated with a combination of long-term permanent drainage and ventilation of the apical cells with corresponding hearing preservation. This can be achieved via a combination of transmastoid, infralabyrinthine and suprajugular approaches, if such would be allowed by the anatomy of the region or if there is enough space between the posterior semicircular canal and the jugular bulb.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-4-151 contains supplementary material, which is available to authorized users.

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Autor: Ilias Kantas - Anna Papadopoulou - Dimitrios G Balatsouras - Andreas Aspris - Nikolaos Marangos

Fuente: https://link.springer.com/







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