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.

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.

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.

scholarly journals Ten years incidence of intracranial complications of chronic suppurative otitis media

2020 ◽  
Vol 3 (6) ◽  
pp. 996-1001
Author(s):  
Khaled Mohamed Mokbel Khalefa
Keyword(s):  
Brain Abscess ◽  
Otitis Media ◽  
Sinus Thrombosis ◽  
University Hospital ◽  
Chronic Suppurative Otitis Media ◽  
Lateral Sinus ◽  
Suppurative Otitis Media ◽  
Mortality And Morbidity ◽  
Number Of Patients ◽  
Intracranial Complications

Background: complications of chronic Suppurative Otitis Media have mortality and morbidity risks which are caused by Reluctance in its management with late presentation. The aim of this study was to investigate, the frequency, mortality and morbidity of intracranial complications of chronic suppurative otitis media admitted at our tertiary University Hospital in ten years from 2006 -2016. Result: The total number of patients reported with intracranial complication due to chronic suppurative otitis media was 64 patients. Brain abscess and Meningitis were present in 24 (37.5%) and 22 cases (34.4%). In 14 cases (21.8%) extradural abscess was found while 4 (6.3%) had lateral sinus thrombosis. Conclusion: Brain abscess is the most common and dangerous complication in chronic suppurative otitis media in our region.

scholarly journals Comparative study between throat swab and ear discharge swabs culture and sensitivity findings in pediatric patients with bilateral chronic otitis media

2019 ◽  
Vol 5 (4) ◽  
pp. 932
Author(s):  
Sudhakar Rao M. S. ◽  
Navneeth T. P.
Keyword(s):  
Otitis Media ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Throat Swab ◽  
Chronic Otitis Media ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group ◽  
The Common ◽  
Culture And Sensitivity

<p class="abstract"><strong>Background:</strong> Chronic otitis media is one of the common infections seen in pediatric age group. The most widely recognized route of infection is via the eustachian tube. The inflammation of the pharyngeal end of the eustachian tube may prevent gas exchange, leading to lowering of the middle ear pressure and predisposes to aspiration of nasopharyngeal microbes into the middle ear cleft.</p><p class="abstract"><strong>Methods:</strong> Eighty (80) cases of clinically diagnosed chronic otitis media among pediatric age group of both sexes selected on simple random basis were included in this study. Swabs from both ears and throat were taken and the samples were sent under strict aseptic conditions for culture and sensitivity testing.  </p><p class="abstract"><strong>Results:</strong> The mean age of patients was 6.1years and the frequency of chronic otitis media was maximum in 1-5 years age group. Male to female ratio was 1.6:1.The most frequent organism isolated was <em>S. Aureus</em> followed by <em>Psuedomonas</em>. The ear swab and throat swab findings showed positive relationship (p&lt;0.05) for the common organisms i.e., <em>S. Aureus</em>, <em>pseudomonas</em> and <em>Streptococcus pyogenes</em> respectively, thus suggesting a common etiological agent. Psuedomonal infection was found to be associated with large perforation in tympanic membrane.</p><p class="abstract"><strong>Conclusions:</strong> The pathology in bilateral ear disease is central i.e., throat. Treatment in these cases is focused on selected drug with optimum dose and calculated regimen of treatment completely, thus reducing the morbidity of loss of physiological function of the ear and the grave complications involved.</p><p> </p>

Enterococcus brain abscess with lateral sinus thrombophlebitis as a complication of chronic otitis media

2017 ◽  
Vol 23 (2) ◽  
pp. 121
Author(s):  
Manu Malhotra ◽  
Shubhankur Gupta ◽  
Saurabh Varshney ◽  
Poonam Joshi ◽  
Rashmi Malhotra
Keyword(s):  
Brain Abscess ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Lateral Sinus

scholarly journals Intracranial Complications of Chronic Otitis Media: Why Does It Still Occur?

2019 ◽  
Vol 98 (7) ◽  
pp. 416-419
Author(s):  
Hardip Singh Gendeh ◽  
Asma binti Abdullah ◽  
Bee See Goh ◽  
Noor Dina Hashim
Keyword(s):  
Otitis Media ◽  
Access To Health Care ◽  
Sinus Thrombosis ◽  
Public Awareness ◽  
Case Series ◽  
Pneumococcal Vaccination ◽  
Chronic Otitis Media ◽  
Poor Access ◽  
Intravenous Antibiotics ◽  
Intracranial Complications

Intracranial complications secondary to chronic otitis media (COM) include otogenic brain abscess and sinus thrombosis. Intravenous antibiotics and imaging have significantly reduced the incidence of intracranial complications secondary to COM. However, the same does not apply to a developing country like Malaysia, which still experiences persisting otogenic complications. This case series describes 3 patients with COM and intracranial complications. All 3 patients had COM with mastoiditis, with 1 of the 3 having a cholesteatoma. Postulated reasons for the continued occurrence include poor access to health care, poor compliance with medication, and the lack of pneumococcal vaccination during childhood. In conclusion, public awareness and a timely specialty referral can reduce the incidence of intracranial complications of COM.

Mastoiditis, Brain Abscess and Sinus Thrombosis As Complications of Chronic Otitis Media: A Case Report

2016 ◽  
Vol 10 (2) ◽  
Author(s):  
Salih Macin ◽  
Ahmet Cagkan Inkaya ◽  
Ozlem Dogan ◽  
Gokhan Bozkurt ◽  
Rahsan Gocmen ◽  
...  
Keyword(s):  
Case Report ◽  
Brain Abscess ◽  
Otitis Media ◽  
Sinus Thrombosis ◽  
Chronic Otitis Media

scholarly journals A clinico-pathological study on chronic otitis media in children

2021 ◽  
Vol 7 (11) ◽  
pp. 1763
Author(s):  
Vijay Kumar ◽  
Sweta Soni ◽  
Rudra Prakash
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Pathological Study ◽  
Exclusion Criteria ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Life Threatening ◽  
Children And Young Adults ◽  
Extracranial Complications ◽  
Jawaharlal Nehru

<p><strong>Background: </strong>Chronic suppurative otitis media (CSOM) is the commonest cause of persistent mild to moderate hearing impairment in children and young adults in developing countries and may have prevalence between 2 and 17% amongst children. The aim of this study was to compare clinico-pathological characteristics of safe (mucosal) and unsafe (squamous) diseases in children.</p><p><strong>Methods: </strong>An observational prospective study was done at ENT department of Jawaharlal Nehru medical college, AMU, Aligarh from over a period of one and half years. A total of 60 children evaluated as per inclusion and exclusion criteria, 30 in each group.</p><p><strong>Results: </strong>Majority of them belonged to rural background with ear discharge being the predominant complaint in all of them. Children with unsafe disease had more incidences of extracranial complications.</p><p><strong>Conclusions: </strong>Keeping in view the detrimental effects of hearing loss on social and educational development of children as the propensity of chronic otitis media to cause life threatening complications, urgent attention to this disease and awareness in public is warranted.</p>

Osteoclasts in Chronic Otitis Media, Cholesteatoma, and Otosclerosis

1988 ◽  
Vol 97 (6) ◽  
pp. 661-666 ◽  
Author(s):  
Richard A. Chole
Keyword(s):  
Bone Resorption ◽  
Otitis Media ◽  
Local Control ◽  
Bone Erosion ◽  
Chronic Otitis Media ◽  
Serial Sectioning ◽  
Repeated Infection ◽  
Intracranial Complications ◽  
Inactive Phase ◽  
Typical Appearance

Bone resorption and remodeling are characteristic of chronic otitis media with and without cholesteatoma and otosclerosis. The consequences of this remodeling process may be hearing loss, repeated infection, vestibular disturbance, or intracranial complications. Evidence of osteoclastic bone resorption was found in surgical specimens of 11 of 24 cases of cholesteatoma, two of three cases of chronic otitis media, and three of ten cases of otosclerotic stapes; all three spongiotic lesions had osteoclasts. With careful serial sectioning these cells are almost always multinucleate and have the typical appearance of osteoclasts with ruffled borders. Some specimens had evidence of bone erosion in the absence of osteoclasts; this finding represents an inactive phase of the remodeling process. Since the osteoclast plays an important role in the resorption and remodeling of bone in these middle ear diseases, the source, physiology, and local control of these cells are of prime importance in investigating the pathophysiology of these diseases. At the present time, the local control of activation and recruitment of osteoclasts, as well as their chemotactic responses, is poorly understood.

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