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Despite advances in imaging and antibiotic treatment, brain absces is still encountered occasionally and is one of the most sig-nificant life-threatening complications of otologic disease. Nowadays, mortality rates of up to 10 percent have been reported. itis media. In this case, underlying middle ear pathology showed chronic otitis media with cholesteatoma. Successful management of otogenic brain abscess still includes medical and surgical treatment. Initial surgical treatment of abscess is very controversial today. Some authors prefer the surgical excision of brain absces prior to the management of temporal bone, yet other authors prefer the surgery of temporal bone prior to the management of brain absces. Although an enterococus is a significant cause of uncommon clinical entities. Because of the relatively small number of individuals who develop brain abscess or meningitis due to an enterococcus, an appropriate therapy has not been well defined. We report a case of enterococcal otogenic brain abscess which was treated successfuly using antibiotics, immediate radical mastoidectomy and later stereotactic abscess drainage with a review of literatures. (Korean J Otolaryngol 2002 ;45 :1188-92)
Laryngeal chondrosarcoma is an uncomon cartilaginous tumor very rarely encountered in the head and neck but most commonly in the sarcoma of the larynx. They occur most often in middle aged and older men. The prognosis of this tumor is potentially poor and surgical resection is generally recomended for the treatment. No benefit of chemotherapy or radiotherapy in chond-rosarcoma has been documented in the literature. A 57 year-old male visited our clinic with history of dyspnea and hoarseness. cartilage. Neck computed tomography revealed a large calcified mas in the larynx. The perioperative frozen section showed it to be grade I chondrosarcoma of the cricoid cartilage. Conservative surgery with complete excision of tumor was performed through laryngofissure approach after tracheostomy. Follow up asesment was performed under close check up at 12 months after the surgery, but we found neither recurence nor metastasis. (Korean J Otolaryngol 2003 ;46 :790-3)