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Nonspecific necrotizing petrositis: An unusual complication of otitis in children
Author(s) -
Stamm Aldo Cassol,
Pinto José Antonio,
Cóser Pedro Luiz,
Marigo Carlos
Publication year - 1984
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198409000-00014
Subject(s) - medicine , facial paralysis , otitis , facial nerve , surgery , complication , granulation tissue , facial canal , paralysis , middle ear , chronic suppurative otitis media , proteus mirabilis , wound healing , pseudomonas aeruginosa , biology , bacteria , genetics
Three cases of an unusual form of suppurative chronic otitis media in children 2 and 3 years old are presented. The clinical feature common to all cases was otorrhea, beginning at the first months of life, with a silent evolution to a complete peripheral facial paralysis. In one case the facial paralysis was bilateral. The treatment applied was surgical: subtotal petrosectomy. The surgical findings were bloody granulation tissue, sequestering completely the otic capsule. The facial nerve was destroyed almost the total length of the Fallopian canal in all cases. The histopathologic examination revealed a destructive and nonspecific chronic inflammatory process. The culture showed Gramnegative organisms, such as Pseudomonas aeruginosas and Proteus mirabilis . Etiologic aspects involved in the process are discussed and the name non‐specific necrolizing petrosilis is suggested to individualize this rare form of otitis which, with morbidity, leads to severe complications such as facial paralysis and deafness.