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The role of surgery in tuberculous mastoiditis: appropriate chemotherapy is not always enough

Published online by Cambridge University Press:  29 June 2007

Graeme M. Weiner
Affiliation:
Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham, UK.
J. E. O'Connell
Affiliation:
Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham, UK.
A. L. Pahor*
Affiliation:
Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham, UK.
*
Address for correspondence: Mr A. L. Pahor, Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham B18 7QH.

Abstract

We present a case of tuberculous otitis media in which a facial palsy occurred after the start of appropriate chemotherapy. To our knowledge this circumstance has not been described previously. It has been argued that radical surgery is completely unnecessary if chemotherapy is commenced early in the disease. We would suggest that this is not always the case, and would advocate a more measured approach.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

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