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Abstract
Single stage procedure to drain otogenic brain abscess using the transmastoid approach
Highlights
In spite of advances in the management of complications of unsafe chronic suppurative otitis media, the mortality of otogenic brain abscess is in the range of 30-40%
Further surgery is needed to eradicate the primary focus of infection in the form of radical or modified radical mastoidectomy
To avoid repeated surgeries for otogenic temporal lobe abscesses located at some distance from mastoid, the author describes a one stage transmastoid approach
Summary
In spite of advances in the management of complications of unsafe chronic suppurative otitis media, the mortality of otogenic brain abscess is in the range of 30-40% Those patients in whom the abscess was located at some distance from the mastoid were judged to be unsuitable for trans mastoid approach requiring repeated abscess drainage via burr holes or complete excision , including the abscess capsule. Both of these are major operations associated with a higher incidence of neurological deficits. The diagnosis must be confirmed by Contrast enhanced CT scan
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