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急性中耳炎治疗中,抗生素使用不当或疗程不足可导致隐蔽性乳突炎。这时虽无鼓膜穿孔、大量耳漏、外耳道后壁肿胀等典型急性乳突炎症状,但乳突气房中则有炎症病灶,成为耳聋或头痛的根源。作者报告2例隐蔽性肉芽性乳突炎引起双耳急性迷路损害,其临床特点:①双侧性,②继发于急性中耳炎,③缺乏鼓膜穿孔及耳漏等急性中耳炎症状,④急剧发展的进行性感音性聋,⑤存在隐蔽的肉芽性乳突炎。PapareiIa、Morgenstein 的组织学研究表明中耳病变可经前庭窗
In the treatment of acute otitis media, improper use of antibiotics or lack of treatment can lead to concealed mastoiditis. Although there is no tympanic membrane perforation, a large number of ear leaks, swelling of the posterior wall of the external auditory canal and other typical symptoms of acute mastoiditis, but the mastoid in the air there are inflammatory lesions, a source of deafness or headache. The authors report 2 cases of concealed granulomatous mastoiditis caused by acute loss of both ears, its clinical features: ① bilateral, ② secondary to acute otitis media, ③ lack of tympanic membrane perforation and otorrhea and other symptoms of acute otitis media, ④ rapid development Sexy audio deafness, ⑤ existence of covert granulomatous mastoiditis. PapareiIa, Morgenstein’s histological study showed that the middle ear lesions can be vestibular