gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

Skull Base Osteomyelitis - Value of Hyperbaric Oxygen Therapy

Meeting Abstract

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  • corresponding author Annett Sandner - Department of Otolaryngology, Head and Neck Surgery, Martin-Luther University Halle, Halle/S., Germany
  • author Kathrin Ruschke - Department of Diagnostic Radiology, Martin-Luther University Halle, Halle/S., Germany
  • author Dirk Henze - Department of Anesthesiology and Hyperbaric Medicine, Martin-Luther University Halle, Halle/S., Germany
  • author Sabrina Kösling - Department of Diagnostic Radiology Martin-Luther University Halle, Halle/S., Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Bonn, 30.04.-04.05.2008. Düsseldorf, Köln: German Medical Science; 2008. Doc08hno90

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2008/08hno90.shtml

Veröffentlicht: 8. Juli 2008

© 2008 Sandner et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objectives: This study reports on the value of adjuvant hyperbaric oxygen therapy (HBO) with respect to the functional outcome in skull base osteomyelitis (SBO). Furthermore diagnostic signs especially on imaging are elaborated.

Methods: The retrospective study included all cases of SBO treated between July 2002 and November 2006. Clinical data, microbiology, laboratory and radiological findings were reviewed. Treatment modality data were analysed. The outcome with regard to neurological or functional deficit was assessed and the value of adjuvant HBO therapy was evaluated.

Results: Ten patients with SBO could be selected. The presumption diagnosis based on CT and/or MRI in first line. Treatment included high dose antibiotics, surgical debridement and adjuvant HBO therapy. Cure rate of treated patients was 8/8, regarding inflammatory signs. Two patients refused any further therapy during the course, in both the outcome was fatal. Functional recovery of cranial nerve deficits could be reached in 6/8. Two patients had residual cranial nerve palsies. The outcome was mainly influenced by the treatment modality and duration of cranial nerve involvement.

Conclusions: Adjuvant hyperbaric oxygen therapy has been proved to be highly effective in the treatment of advanced SBO. Cranial nerve palsies can recover completely under optimized treatment including adjuvant HBO therapy.