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值此抗生素和颞骨显微手术的时代,严重的中耳炎并发症已很少见,但仍有些病例可能发生。中耳的慢性炎症通过血管、筋膜层或通过因骨炎致骨吸收为肉芽组织所替代的过程能到达颞骨的许多部分。本文报道了3例2～3岁幼儿的慢性中耳炎,由于隐匿地进展而发生了如面瘫和耳聋的严重并发症。其临床主要特征均为耳漏和完全性外周性面瘫,1例侵犯双侧。耳镜示有粘脓性或血性分泌物及息肉样块充斥外耳道,1例示鼓膜穿孔并可通过穿孔看到中耳内肿胀的粘膜和小
In this era of antibiotic and temporal bone microsurgery, severe otitis media complications have been rare, but some cases may still occur. Chronic inflammation of the middle ear can reach many parts of the temporal bone through blood vessels, fascia layers, or processes that are replaced by granulation tissue due to bone resorption induced by osteitis. This article reports on 3 cases of chronic otitis media in children aged 2-3 years who experienced severe complications such as facial paralysis and deafness as a result of their stealthy progression. The main clinical features are otorrhea and complete peripheral facial paralysis, one case of violation of both sides. Otoscopy showed purulent or bloody discharge and polyp samples flooded the external auditory meatus, a case of tympanic membrane perforation and perforation can be seen in the middle ear swollen mucosa and small