Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-27T08:01:59.391Z Has data issue: false hasContentIssue false

Luc's abscess - a rare complication of middle-ear infection

Published online by Cambridge University Press:  29 June 2007

M. V. Knappe*
Affiliation:
Department of Otolaryngology, University of Stellenbosch and Tygerberg HospitalPO Box 19063 7505 Tygerberg, South Africa.
R. T. Gregor
Affiliation:
Department of Otolaryngology, University of Stellenbosch and Tygerberg HospitalPO Box 19063 7505 Tygerberg, South Africa.
*
Address for correspondence: Dr M. Knappe, Department of Otolaryngology, University of Stellenbosch and Typerberg Hospital, Po Box 19063, 7565 Tygerberg, South Africa.Fax: 00-2721-938-9470

Abstract

A case of subperiosteal temporal abscess of otitic origin is presented. This is an unusual complication of otitis media. The pathogenesis of Luc's abscess is different from other extracranial complications of middle-ear infections in that it is notassociated with mastoid infection which results in subperiosteal pus formation. Based on our experience and the reports from the turn of the century. we present the presumptive pathogenesis and clinical features. We contend that these patients run an unexpectedly benign course, and require concomitantly more conservative treatment than other otitic abscesses.

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hawkins, D. B., Dru, D., House, J. W., Clark, R. W. (1983) Acute mastoiditis in children: A review of 54 cases. Laryngoscope 93: 568572.CrossRefGoogle ScholarPubMed
Hawkins, D. B., Dru, D. (1983) Mastoid subperiosteal abscess. Archives of Otolaryngology 109: 369371.CrossRefGoogle ScholarPubMed
Kafka, M. M. (1935) Mortality of mastoiditis and cerebral complications with review of 3,225 cases of mastoiditis. with complications. Laryngoscope 45: 790822.CrossRefGoogle Scholar
Kangsanarak, J., Fooanant, S., Ruckphaopunt, K., Navacharoen, N., Teotrakul, S. (1993) Extracranial and intracranial complications of suppurative otitis media. Report of 102 cases. Journal of Laryngologyand Otology 107: 9991004.CrossRefGoogle ScholarPubMed
Le Marc', Hadour, Chauveau, L. (1910) Contribution a l'étude des périostites du conduit auditif externe au cours des otitessuppurées. Annales des Maladies de L'Oreille et du Larynx 7: 113.Google Scholar
Luc, H. (1913) The sub-periosteal temporal abscess of otic origin without ultra-osseous suppuration. Laryngoscope 23: 9991003.CrossRefGoogle Scholar
Moisa, I. I., Danziger, E. J., Brauer, R. J. (1987) Subperiosteal and Bezold's abscesses complicating cholesteatoma: A case report. Otolaryngology – Head and Neck Surgery 97: 399402.CrossRefGoogle ScholarPubMed
Rosen, A. V., Ophir, D., Marshak, G. (1986) Acute mastoiditis: A review of 69 cases. Annals of Otology, Rhinology and Laryngology 95: 222224.CrossRefGoogle ScholarPubMed