Extracranial and intracranial complications of suppurative otitis media. report of 102 cases

1993 ◽  
Vol 107 (11) ◽  
pp. 999-1004 ◽  
Author(s):  
Jaran Kangsanarak ◽  
Supranee Fooanant ◽  
Kobkiat Ruckphaopunt ◽  
Niramon Navacharoen ◽  
Sunanta Teotrakul
Keyword(s):  
Otitis Media ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
Morbidity Rate ◽  
Media Report ◽  
Suppurative Otitis Media ◽  
Subperiosteal Abscess ◽  
Intracranial Complications ◽  
Patient Groups ◽  
Staphylococcus Spp

AbstractDuring the eight-year period, 1983–1990, 102 cases of intracranial (IC) and extracranial (EC) complications from 17 144 suppurative otitis media were reviewed. The prevalence of each complication was 0.24 and 0.45 per cent respectively. Facial paralysis, subperiosteal abscess and labynnthitis were the common complications among the EC group, while meningitis and brain abscess were common in the IC group. Twenty five per cent of the EC group and 44 per cent of the IC group had more than two complications. The reliable warning signs and symptoms for IC complications were fever, headache, earache, vestibular symptoms, meningeal signs and impairment of consciousness. Proteus spp., Pseudomonas aeuruginosa and Staphylococcus spp. were the commonest organisms isolated from both groups. Cholesteatoma and granulation/polyp in the middle earl mastoid were the major findings in both patient groups. Mortality rate in the IC group was 18.6 per cent. Morbidity rate in each group was 14.3 per cent (EC) and 27.9 per cent (IC) respectively. Epidemiological presentations, clinical features and the result of treatment are discussed.

The complications of chronic otitis media: report of 93 cases

2000 ◽  
Vol 114 (2) ◽  
pp. 97-100 ◽  
Author(s):  
Ustun Osma ◽  
Sebahattin Cureoglu ◽  
Salih Hosoglu
Keyword(s):  
Brain Abscess ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Morbidity Rate ◽  
Media Report ◽  
Mortality And Morbidity ◽  
Subperiosteal Abscess ◽  
Intracranial Complications ◽  
The Common ◽  
Extracranial Complications

The aim of this study was to investigate the incidence, mortality and morbidity of complications due to chronic otitis media (COM). During the nine-year period 1990–1999, 2890 cases of COM were reviewed, 93 (3.22 per cent) having 57 (1.97 per cent) intracranial complications (IC) and 39 (1.35 per cent) extracranial complications (EC). In three patients more than one complication was observed. Meningitis and brain abscess were common in the IC group. Subperiosteal abscess (mastoid and Bezold’s abscess) was a common complication in the EC group. Cholesteatoma and granulation/polyp in the middle ear/mastoid were the major findings in both groups. Fifteen patients died from IC. Overall, the mortality rate was 16.1 per cent in all patients having complications, and in patients with IC it was 26.3 per cent. In all of the patients with complications, the morbidity rate was 11.8 per cent. Our study supports the finding that meningitis and brain abscess are the common complications of COM and the main reason for mortality.

Complications and Sequelae of Chronic Suppurative Otitis Media

1988 ◽  
Vol 97 (2_suppl) ◽  
pp. 38-40 ◽  
Author(s):  
Orval E. Brown ◽  
William L. Meyerhoff
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Facial Paralysis ◽  
Chronic Suppurative Otitis Media ◽  
Lateral Sinus ◽  
Suppurative Otitis Media ◽  
Intracranial Complications ◽  
Osseous Changes

Chronic suppurative otitis media is an infection of the ME space associated with irreversible tissue disease. This entity is generally seen clinically as ME infection associated with a nonhealing perforation of the TM. It has significant complications and sequelae. Otologic complications of C Supp OM include petrositis, facial paralysis, and labyrinthitis. Intracranial complications include lateral sinus thrombophlebitis, meningitis, and intracranial abscesses. Sequelae include osseous changes of the ME with associated hearing loss, cholesteatoma, and tympanosclerosis.

scholarly journals A study of complications of chronic suppurative otitis media at tertiary care hospital

2020 ◽  
Vol 6 (2) ◽  
pp. 330
Author(s):  
Bhagirathsinh D. Parmar ◽  
Sushil Jha ◽  
Vikas Sinha ◽  
Nirav Chaudhury ◽  
Gavendra Dave
Keyword(s):  
Otitis Media ◽  
Tertiary Care ◽  
Acute Otitis Media ◽  
Neck Surgery ◽  
Study Data ◽  
Chronic Suppurative Otitis Media ◽  
Common Disease ◽  
Care Hospital ◽  
Suppurative Otitis Media ◽  
Intracranial Complications

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is a still common disease in developing country and is found sometimes difficult to treat. Different complications can develop inspite of availability of higher antibiotics. In pre-antibiotic era, complications of acute otitis media and CSOM were very common and lead to high mortality. Inspite of initial decline in the complication of CSOM due to higher antibiotics, the incidences are still on rise. CSOM remains a serious disease, particularly in developing countries and CSOM-related complications are still found life-threatening. The aim and objective was to study various clinical presentations and management of CSOM related complications.</p><p class="abstract"><strong>Methods:</strong> All patients of chronic supurrative otitis media with intra or extracranial complication who were admitted in Department of Otorhinolaryngology Head and Neck surgery, Sir. T. General Hospital, Government Medical College, Bhavnagar from July 2015 to December 2018 was included in this study. Data of clinical presentation, associated complication, management, and follow-up were analysed.  </p><p class="abstract"><strong>Results:</strong> Out of 250 patients of CSOM admitted during these 3 years in ENT Department, 36 patients presented with CSOM related complications. 15 patients presented with intracranial complications and 21 patients presented with extracranial complications.</p><p class="abstract"><strong>Conclusions:</strong> Inspite of availability of higher antibiotics, CSOM related complications are still common. In all the patients require higher intravenous antibiotics (which crosses blood brain barrier) followed by mastoid surgeries.</p>

scholarly journals Intra and extracranial complications of middle earths: literature review

2019 ◽  
Vol 11 (2) ◽  
pp. 145-151
Author(s):  
Carlos Eduardo Borges Rezende ◽  
Stephanie Rissio ◽  
William José Gilioti ◽  
Morgana Moreno Boschi
Keyword(s):  
Brain Abscess ◽  
Otitis Media ◽  
Semicircular Canal ◽  
Chronic Otitis Media ◽  
Signs And Symptoms ◽  
Intravenous Antibiotic ◽  
Subperiosteal Abscess ◽  
Labyrinthine Fistula ◽  
Extracranial Complications ◽  
Spread Of Infection

Otitis media (OM) has several forms and among the main are otitis media (AOM), OM with effusion and chronic otitis media (COM) (cholesteatomatous or not). For the most part, the OM progressed well, but there are risks of complications and sequelae. These are divided into extra and intracranial, the first being the most common, but less lethal. Among the extracranial are: labyrinthine fistula, subperiosteal abscess, mastoiditis, temporozigomatic abscess, Bezold's abscess, parapharyngeal abscess, facial palsy, petrositis and labyrinthitis. Among the intracranial are: meningitis, epidural abscess, subdural empyema, brain abscess, the sigmoid sinus thrombophlebitis and otological hydrocephalus. The aim of this study is to identify the main complications of otitis media, distinguishing them from the incidence, degree of morbidity and mortality and analyze the development, management and treatment required for each entity. Brain abscess is the most common entity and subperiosteal abscess is the most common extracranial complication. Labyrinthine fistula occurs most often related to OMC. This has the physiopathology erosion of the bone covering the semicircular canal, usually the lateral semicircular canal. Labyrinthitis results from the spread of infection from the cochlear window membrane and can be presented in two ways: serous or suppurative labyrinthitis. The most common intracranial complication is meningitis, rarely associated with cholesteatoma and most often associated with AOM, of higher incidence in children. CT with contrast is the gold standard when you suspect any complications in patients with otitis media after undergoing a thorough history and physical examination. When the physician knows the possible complications and their signs and symptoms, the diagnosis is early and the prognosis best. Treatment of complications in general is based on patient hospitalization, myringotomy with culture and sensitivity, intravenous antibiotic therapy as early as possible and mastoidectomy in all cases related to COM or recurrent complications.

scholarly journals Incidence of intracranial complications of chronic suppurative otitis media

2013 ◽  
Vol 21 (1) ◽  
pp. 76-82 ◽  
Author(s):  
DGM Akaiduzzaman ◽  
MAY Fakir ◽  
ABMK Alam ◽  
DC Talukder
Keyword(s):  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Intracranial Complications

DOI: http://dx.doi.org/10.3329/jdmc.v21i1.13243 J. Dhaka Med. Coll. 2012; 21(1): 76-82

scholarly journals Profil Penderita Otitis Media Supuratif Kronis

2013 ◽  
Vol 7 (12) ◽  
pp. 567
Author(s):  
Harry Agustaf Asroel ◽  
Debi Rumondang Siregar ◽  
Askaroellah Aboet
Keyword(s):  
Pseudomonas Aeruginosa ◽  
General Hospital ◽  
Otitis Media ◽  
Clinical Symptoms ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Suppurative Otitis Media ◽  
Tympanic Membrane Perforations ◽  
Main Complaint ◽  
Attic Perforation

Otitis media supuratif kronis merupakan penyakit telinga umum di negaranegara berkembang. Komplikasi otitis media supuratif kronis tipe bahaya mempunyai tanda dan gejala klinis yang khas.Tujuan penelitian ini adalah mengetahui profil penderita otitis media supuratif kronis (OMSK) tipe bahaya di RSUP H. Adam Malik. Penelitian deskriptif terhadap 119 penderita dari tahun 2006-2010. Sekitar 28,57% penderita dijumpai pada tahun 2010, sekitar 31,93% terjadi pada usia 11-20 tahun, sekitar 53,78% laki-laki, dan sekitar 38,66% pada telinga kanan. Sebanyak 68,91% terjadi akibat riwayat otitis media berulang dan 61,34% dengan keluhan utama telinga berair. Gejala dan tanda klinis yang sering terjadi adalah telinga berair (76,47%) dan perforasi membran timpani (74,79%), baik perforasi atik (0,84%), marginal (1,68%), subtotal (23,53%), dan total (48,74%). Gangguan pendengaran terbanyak adalah tuli konduktif (58,82%). Pada foto proyeksi Schuller, 62,18% dijumpai gambaran mastoiditis kronis dengan kolesteatoma. Dari hasil kultur dijumpai 21,01% Pseudomonas aeruginosa. 86,55% terjadi komplikasi mastoiditis.Profil penderita OMSK tipe bahaya di RSUP H. Adam Malik Medan sesuai dengan profil penderita OMSK tipe bahaya pada umumnya.Chronic suppurative otitis media (CSOM) is a common ear disease in developing countries. The complications of CSOM have a unique set of clinical signs and symptoms. This study aimed to identify the profile of dangerous type CSOM patients at H. Adam Malik General Hospital Medan in 2006-2010. A descriptive study of 119 patients in 2006-2010. From 119 patients, 28.57% were found in 2010, 31.93% were at age between 11-20 years old, 53.78% men and 38.66% were at right ear. 68.91% due to a history of recurrent otitis media and 61.34% with a main complaint of draining ears. The most clinical symptoms and signs were aqueous ears (76.47%) and tympanic membrane perforations (74.79%), as attic perforation (0.84%), marginal (1.68%), subtotal (23.53%), and total (48.74%). The most hearing impairments were conductive deafness (58.82%). In Schuller projections, 62.18% were found the imaging of chronic mastoiditis with cholesteatoma. From the culture results, 21.01% were Pseudomonas aeruginosa. 86.55% were mastoiditis complications.The profile of dangerous type CSOM patients at H. Adam Malik General Hospital Medan is similar with the other profile of dangerous type CSOM commonly.

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