scholarly journals Rare case of chronic suppurative otitis media with gradenigo syndrome

2017 ◽  
Vol 3 (3) ◽  
pp. 755 ◽  
Author(s):  
Shiffali . ◽  
Priyanka . ◽  
Kulwinder Singh Sandhu ◽  
Jagdeepak Singh
Keyword(s):  
Otitis Media ◽  
Nerve Palsy ◽  
Rare Complication ◽  
Acute Otitis Media ◽  
Suppurative Otitis Media ◽  
Sixth Nerve Palsy ◽  
Modified Radical Mastoidectomy ◽  
Clinical Triad ◽  
Apical Petrositis ◽  
Sixth Nerve

<p class="abstract">We report a case of sixth nerve palsy as a rare complication of acute otitis media (apical petrositis). The clinical triad of symptoms consisting of retro-orbital unilateral pain related to trigeminal nerve involvement, diplopia due to sixth nerve palsy and persistent otorrhea is known as Gradenigo syndrome. The patient was treated with intravenous antibiotics along with modified radical mastoidectomy and had complete resolution of his symptoms.</p>

Diplopia in a Child: Gradenigo Syndrome Is an Unforgettable Disease

2021 ◽  
pp. 014556132198945
Author(s):  
Kai-Chieh Chan ◽  
Shih-Lung Chen
Keyword(s):  
Differential Diagnosis ◽  
Otitis Media ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Modern Society ◽  
Abducens Nerve Palsy ◽  
Suppurative Otitis Media ◽  
Orbital Pain ◽  
Clinical Triad ◽  
Apical Petrositis

Gradenigo syndrome is a clinical triad of abducens nerve palsy, retro-orbital pain (trigeminal ganglionitis), and chronic otorrhea (otitis media). The etiology of Gradenigo syndrome results from apical petrositis secondary to suppurative otitis media. Although apical petrositis has gradually become uncommon in modern society due to the widespread use of antibiotics, Gradenigo syndrome should be considered in the differential diagnosis of a child’s diplopia.

Temporal bone osteomyelitis and temporoparietal abscess secondary to malignant otitis externa

2009 ◽  
Vol 123 (11) ◽  
pp. 1288-1291 ◽  
Author(s):  
B Alva ◽  
K Chandra Prasad ◽  
S Chandra Prasad ◽  
S Pallavi
Keyword(s):  
Temporal Bone ◽  
Otitis Media ◽  
World Literature ◽  
Otitis Externa ◽  
Acute Otitis Media ◽  
Suppurative Otitis Media ◽  
The Past ◽  
Modified Radical Mastoidectomy ◽  
Malignant Otitis Externa ◽  
Canal Wall Down

AbstractObjective:We report an advanced presentation of osteomyelitis of the temporal bone secondary to malignant otitis externa.Method:We present a case report and a review of the world literature concerning osteomyelitis of the temporal bone secondary to malignant otitis externa.Results:A 60-year-old diabetic man developed osteomyelitis of the temporal bone and a temporoparietal abscess as advanced complications of malignant otitis externa. He was successfully treated in our institution using a post aural incision after draining the abscess and excising the fistula, a modified radical mastoidectomy with canal wall down procedure with sequesterectomy and debridement of surrounding area done.Conclusion:The terms ‘osteomyelitis of the temporal bone’, ‘skull base osteomyelitis’ and ‘malignant otitis externa’ have not been clearly defined, and have in the past often been used interchangeably in the literature. Osteomyelitis of the temporal bone can occur secondary to malignant otitis externa, acute otitis media, chronic suppurative otitis media or trauma. Here, we present the management of an advanced case of osteomyelitis of the temporal bone.

Subperiosteal Mastoid Abscesses in Chronic Suppurative Otitis Media

1988 ◽  
Vol 97 (4) ◽  
pp. 373-375 ◽  
Author(s):  
A. Olu Ibekwe ◽  
Benjamin C. C. Okoye
Keyword(s):  
Otitis Media ◽  
Acute Otitis Media ◽  
Chronic Otitis Media ◽  
Mastoid Cavity ◽  
Radical Mastoidectomy ◽  
Acute Mastoiditis ◽  
Suppurative Otitis Media ◽  
Modified Radical Mastoidectomy ◽  
Radiographic Investigation ◽  
The Ideal

In Europe and America, acute mastoiditis usually appears as a complication of acute otitis media, and some patients develop subperiosteal mastoid abscesses. In Nigeria, however, most subperiosteal mastoid abscesses develop from chronic otitis media with cholesteatoma. Of the 16 patients with subperiosteal mastoid abscesses discussed, 11 (69 %) had cholesteatoma and only five (31 %) had granulation tissue in the mastoid cavity. The ideal treatment for these cases is modified radical mastoidectomy. Radiographic investigation of the mastoid can be useful in the diagnosis of cholesteatoma in the presence of a subperiosteal mastoid abscess.

Isolated Abducent Nerve Palsy after Microvascular Decompression for Trigeminal Neuralgia: Case Report

Neurosurgery ◽  
2005 ◽  
Vol 57 (6) ◽  
pp. E1317-E1317
Author(s):  
Kishor A. Choudhari
Keyword(s):  
Trigeminal Neuralgia ◽  
Basilar Artery ◽  
Microvascular Decompression ◽  
Nerve Palsy ◽  
Rare Complication ◽  
Complete Relief ◽  
Sixth Nerve Palsy ◽  
Abducent Nerve Palsy ◽  
Abducent Nerve ◽  
Sixth Nerve

Abstract OBJECTIVE AND IMPORTANCE: Microvascular decompression (MVD) is a safe and effective treatment for trigeminal neuralgia. Isolated postoperative ipsilateral abducent nerve palsy is an extremely rare complication of this procedure and has not been reported before. The author wishes to report this rare complication, discuss its aetio-pathogenesis and the natural course. CLINICAL PRESENTATION: A 57-year-old man underwent MVD for right sided medically refractory trigeminal neuralgia based on the MRI finding of ectatic basilar artery compression at its root entry zone. The procedure was uneventful with complete relief of pain. However, he developed isolated ipsilateral sixth nerve palsy following surgery that lasted for six weeks. INTERVENTION: Anterior displacement of tortuous and dilated basilar artery to create space between the artery and the nerve during MVD operation probably resulted in inadvertent neuropraxia to the abducent nerve that was located immediately anterior to the artery but was not in the surgical field. Immediate sixth nerve palsy resulted post-operatively. A conservative route was adopted with spontaneous improvement of the extraocular eye movements after six weeks. CONCLUSION: Isolated abducent nerve damage is a rare complication of the MVD procedure. Surgical manipulation of the dilated and tortuous vessels located anterior to the trigeminal nerve may cause indirect stretching of the delicate abducent nerve with resultant neuropraxia. This complication is difficult to recognize and prevent intra-operatively as the nerve lies on the far side of the artery. Fortunately, spontaneous recovery of the neural function seems to be the most likely outcome.

scholarly journals A rare case of Bezold’s abscess presenting as parapharyngeal abscess

2015 ◽  
Vol 1 (1) ◽  
pp. 48 ◽  
Author(s):  
Ameya Bihani ◽  
Jyoti P. Dabholkar
Keyword(s):  
Otitis Media ◽  
Rare Complication ◽  
Chronic Suppurative Otitis Media ◽  
Canal Wall ◽  
Radical Mastoidectomy ◽  
Suppurative Otitis Media ◽  
Incision And Drainage ◽  
Parapharyngeal Abscess ◽  
Modified Radical Mastoidectomy ◽  
Anterior Belly

<p class="abstract"><span lang="EN-US">Bezold’s abscess is a very rare complication of unsafe chronic suppurative otitis media. The diagnosis of Bezold’s abscess is clinched by the presence of inflammation which is tracking down the anterior belly of digastrics and sternocleidomastoid. Surgery constituting incision and drainage of abscess with canal wall modified radical mastoidectomy is treatment of choice. We hereby present a case of 42 year male presenting with parapharyngeal abscess (Bezold’s abscess) which was secondary to unsafe chronic suppurative otitis media.</span></p>

Gradenigo’s and Vernet’s syndrome in an adult man with Candida mastoiditis

2021 ◽  
Vol 14 (4) ◽  
pp. e241006
Author(s):  
Maria A Parekh ◽  
Vitor H Pacheco
Keyword(s):  
Otitis Media ◽  
Cranial Nerve ◽  
Acute Otitis Media ◽  
Jugular Foramen ◽  
Cranial Neuropathy ◽  
Gradenigo’S Syndrome ◽  
Adjacent Structures ◽  
Life Threatening ◽  
Clinical Triad ◽  
Apical Petrositis

The authors report a case of fungal otitis media complicated by extension of the infection into adjacent structures causing apical petrositis and subsequently involvement of the jugular foramen in a 71-year-old diabetic man. First described in 1907, Gradenigo’s syndrome is a serious but rare clinical triad of acute otitis media, unilateral pain in the distribution of cranial nerve V (trigeminal) and ipsilateral cranial nerve VI (abducens) palsy that commonly presents without all three features and is therefore often missed. In this report, our patient was initially misdiagnosed as having a diabetic cranial neuropathy, and later he developed Vernet’s syndrome. Despite aggressive surgical and medical management, he did poorly and died a few weeks later. Clinicians need to be aware of this serious and life-threatening complication of otitis media in high-risk individuals with diabetes or immunocompromised states, to allow early diagnosis and improved clinical outcomes.

scholarly journals Otitis media outcomes of a combined 10-valent pneumococcal Haemophilus influenzae protein D conjugate vaccine and 13-valent pneumococcal conjugate vaccine schedule at 1-2-4-6 months: PREVIX_COMBO, a 3-arm randomised controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amanda Jane Leach ◽  
Edward Kim Mulholland ◽  
Mathuram Santosham ◽  
Paul John Torzillo ◽  
Peter McIntyre ◽  
...  
Keyword(s):  
Haemophilus Influenzae ◽  
Otitis Media ◽  
Conjugate Vaccine ◽  
Otitis Media With Effusion ◽  
Controlled Trial ◽  
Acute Otitis Media ◽  
Trial Registration ◽  
Open Label ◽  
Suppurative Otitis Media ◽  
Link Type

Abstract Background Aboriginal children living in Australian remote communities are at high risk of early and persistent otitis media, hearing loss, and social disadvantage. Streptococcus pneumoniae and non-typeable Haemophilus influenzae (NTHi) are the primary pathogens. We compared otitis media outcomes in infants randomised to either a combination of Synflorix™ (PHiD-CV10, with protein D of NTHi) and Prevenar13™ (PCV13, with 3, 6A, and 19A), with recommended schedules for each vaccine alone. We previously reported superior broader overall immunogenicity of the combination schedule at 7 months, and early superiority of PHiD-CV10 compared to PCV13 at 4 months. Methods In an open-label superiority trial, we randomised (1:1:1) Aboriginal infants at 28 to 38 days of age, to either Prevenar13™ (P) at 2–4-6 months (_PPP), Synflorix™ (S) at 2–4-6 months (_SSS), or Synflorix™ at 1–2-4 months plus Prevenar13™ at 6 months (SSSP). Ears were assessed using tympanometry at 1 and 2 months, combined with otoscopy at 4, 6, and 7 months. A worst ear diagnosis was made for each child visit according to a severity hierarchy of normal, otitis media with effusion (OME), acute otitis media without perforation (AOMwoP), AOM with perforation (AOMwiP), and chronic suppurative otitis media (CSOM). Results Between September 2011 and September 2017, 425 infants were allocated to _PPP(143), _SSS(141) or SSSP(141). Ear assessments were successful in 96% scheduled visits. At 7 months prevalence of any OM was 91, 86, and 90% in the _PPP, _SSS, and SSSP groups, respectively. There were no significant differences in prevalence of any form of otitis media between vaccine groups at any age. Combined group prevalence of any OM was 43, 57, 82, 87, and 89% at 1, 2, 4, 6, and 7 months of age, respectively. Of 388 infants with ear assessments at 4, 6 and 7 months, 277 (71.4%) had OM that met criteria for specialist referral; rAOM, pOME, or CSOM. Conclusions Despite superior broader overall immunogenicity of the combination schedule at 7 months, and early superiority of PHiD-CV10 compared to PCV13 at 4 months, there were no significant differences in prevalence of otitis media nor healthy ears throughout the first months of life. Trial registration ACTRN12610000544077 registered 06/07/2010 and ClinicalTrials.govNCT01174849 registered 04/08/2010.

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