The Bacteriology and Clinical Course of Acute Suppurative Otitis Media, Acute Mastoiditis and their Complications

1929 ◽  
Vol 178 (1) ◽  
pp. 143
Author(s):  
Hesse
Keyword(s):  
Otitis Media ◽  
Clinical Course ◽  
Acute Mastoiditis ◽  
Suppurative Otitis Media

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.

scholarly journals Bakteri Penyebab Otitis Media Supuratif Kronis di Rumah Sakit Umum Universitas Kristen Indonesia

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Tio Dora Parhusip ◽  
Bambang Suprayogi Resi Utomo ◽  
Lina Marlina ◽  
Fransiscus Harp Poluan ◽  
Jurita Falorin ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Staphylococcus Aureus ◽  
Otitis Media ◽  
Staphylococcus Epidermidis ◽  
Chronic Suppurative Otitis Media ◽  
Mastoid Cavity ◽  
Acute Mastoiditis ◽  
Suppurative Otitis Media ◽  
Clinical Series ◽  
Klebsiella Spp

Abstrak Otitis media supuratif kronis (OMSK) merupakan inflamasi dari telinga tengah dan rongga mastoid kronis, ditandai dengan perforasi membran timpani serta cairan yang keluar dari telinga secara persisten. Gangguan pendengaran dan kecacatan umumnya disebabkan oleh OMSK. Komplikasi otitis media supuratif kronis lainnya dapat menyebabkan infeksi intrakranial yang fatal dan mastoiditis akut, terutama di Negara-negara berkembang. Penatalaksanaan yang efektif tergantung pada pengetahuan mengenai mikroorganisme penyebab dan sensitivitas mikroba. Penelitian ini bertujuan untuk mengetahui pola bakteri penyebab otitis media supuratif kronis di Rumah Sakit Umum Universitas Kristen Indonesia Tahun 2019. Metode penelitian yang digunakan adalah deskriptif dengan pendekatan secara clinical series yang dilakukan dari bulan Agustus 2019 sampai November 2019 di Poliklinik THT-KL RSU UKI dan Laboratorium Mikrobiologi FK UKI. Hasil dari 17 sampel menunjukkan bahwa Staphylococcus aureus merupakan bakteri terbanyak yang ditemukan pada penderita OMSK yaitu 6 (35,3%), diikuti Pseudomonas aerugenosa 5 (29,4%), Staphylococcus epidermidis 2 (11,8%), Klebsiella spp. 2 (11,8%), Proteus spp. 1 (5,9%), Escherichia coli 1 (5,9%).  Kata kunci :otitis media supuratif kronis, pola bakteri. Abstract Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity, followed with recurrent ear discharges or otorrhoea through a tympanic perforation. Hearing impairment and disability are generally caused by CSOM. Other complications of chronic suppurative otitis media can lead to fatal intracranial infections and acute mastoiditis, especially in developing countries. Effectivity of the disease management depends on the knowledge of causative microorganisms and their antimicrobial sensitivity. The purpose of this study is to identify the bacterial pattern that cause chronic suppurative otitis media in Christian  University of Indonesia General Hospital in 2019. This study is using the descriptive method with a clinical series approach, this study was carried out from August 2019 to November 2019 at the polyclinic of ENT-HNS RSU UKI and Microbiology Laboratory FK UKI. The results of 17 samples showed Staphylococcus aureus was the most bacteria found in CSOM patient 6 samples (35,3%), followed Pseudomonas aerugenosa 5 (29,4%), Staphylococcus epidermidis 2 (11,8%), Klebsiella spp. 2 (11,8%), Proteus spp. 1 (5,9%), Escherichia coli 1 (5,9%). Keywords: chronic suppurative otitis media, bacterial pattern

Bezold's abscess

1991 ◽  
Vol 105 (9) ◽  
pp. 765-766 ◽  
Author(s):  
R. J. Gaffney ◽  
T. P. O'Dwyer ◽  
A. J. Maguire
Keyword(s):  
Special Reference ◽  
Otitis Media ◽  
Clinical Presentation ◽  
Acute Mastoiditis ◽  
Suppurative Otitis Media ◽  
Neck Abscess ◽  
Deep Neck Abscess ◽  
Uncommon Condition ◽  
The Difference

AbstractSince the introduction of antibiotics for the treatment of suppurative otitis media the incidence of complications from this disease has been greatly diminished. Acute mastoiditis, resulting in the deep neck abscess known as Bezold's abscess, has become very rare. A case of Bezold's abscess is presented with special reference to the clinical presentation and pathogenesis of this now uncommon condition. The variations in the routes of spread of the abscess in the fascial planes of the neck are described in detail. The difference between what is known today as a Bezold's abscess and the abscess that Bezold described in the early part of this century are presented.

Pediatric Acute Otitis Media in the Era of Pneumococcal Vaccination

2017 ◽  
Vol 156 (5) ◽  
pp. 938-945 ◽  
Author(s):  
Kareem O. Tawfik ◽  
Stacey L. Ishman ◽  
Mekibib Altaye ◽  
Jareen Meinzen-Derr ◽  
Daniel I. Choo
Keyword(s):  
Hospital Admission ◽  
Otitis Media ◽  
Pneumococcal Meningitis ◽  
Acute Otitis Media ◽  
Pneumococcal Vaccination ◽  
Acute Mastoiditis ◽  
Suppurative Otitis Media ◽  
Admission Rates ◽  
Annual Prevalence ◽  
Admission Prevalence

Objectives (1) Describe longitudinal trends in annual prevalence of hospital admission for pediatric acute otitis media (AOM) and complications of AOM (CAOM) since introduction of pneumococcal vaccination in 2000 and (2) describe the longitudinal trend of prevalence of hospital admission for pneumococcal meningitis in children with AOM-related diagnoses in the postvaccination era. Study Design Retrospective analysis of Kids’ Inpatient Database from 2000 to 2012. Setting Community, nonrehabilitation hospitals. Subjects and Methods To determine annual prevalence of admission for AOM/CAOM, nationally weighted frequencies of children aged <21 years with acute suppurative otitis media, acute mastoiditis, suppurative labyrinthitis, and/or acute petrositis were collected. The frequency of coexisting pneumococcal meningitis diagnoses among these patients was also collected. Trend analysis of prevalences of admission for AOM/CAOM and for pneumococcal meningitis occurring in the setting of AOM/CAOM from 2000 to 2012 was performed. Results Between 2000 and 2012, annual prevalence of admission for AOM/CAOM decreased from 3.956 to 2.618 per 100,000 persons ( P < .0001) (relative risk reduction 34%). Declines in admission prevalence were most pronounced in children <1 year of age (from 22.647 to 8.715 per 100,000 persons between 2000 and 2012, P < .0001) and 1 to 2 years of age (from 13.652 to 5.554 per 100,000 persons between 2000 and 2012, P < .0001). For all ages, the admission prevalence for pneumococcal meningitis and concomitant AOM/CAOM decreased (from 1.760 to 0.717 per 1,000,000 persons, P < .0001) over the study period. Conclusions The prevalence of hospital admission for pediatric AOM/CAOM has declined since the advent of pneumococcal vaccination. Admission rates for pneumococcal meningitis with AOM/CAOM have similarly declined.

scholarly journals Study of demography and clinical profile of extracranial complications of chronic suppurative otitis media

2018 ◽  
Vol 4 (4) ◽  
pp. 977
Author(s):  
Mallikarjun Patil ◽  
Shashidhar Suligavi ◽  
S. S. Doddamani
Keyword(s):  
Otitis Media ◽  
Low Income ◽  
Facial Palsy ◽  
Income Group ◽  
Chronic Suppurative Otitis Media ◽  
Acute Mastoiditis ◽  
Suppurative Otitis Media ◽  
Subperiosteal Abscess ◽  
Extracranial Complications ◽  
Age Range

<p class="abstract"><strong>Background:</strong> The complications of chronic suppurative otitis media (CSOM) are still prevalent in the developing countries like India. They pose a great challenge in the management. The objective of the study was to study the demographic pattern, symptomatology and pattern of extracranial complications of CSOM.</p><p class="abstract"><strong>Methods:</strong> Patients of both sexes presenting with extra cranial complications of chronic suppurative otitis media were included. A proforma drafted for the study of these patients was used. The patients were subjected to investigations to confirm the diagnosis.  </p><p class="abstract"><strong>Results:</strong> In our study of 25 cases of extra cranial complications of CSOM, there were 14 females and 11 males.8 cases were in the age range of 11-20 years. Of the 25 cases, 22 belonged to the low income group and 3 to mid income group. Most common symptoms at presentation were otorrhoea, hearing loss, ear ache, postaural swelling and postaural discharge. Most cases were from rural area. Regarding extracranial complications, 10 cases (40%) had subperiosteal abscess, 4 (16%) mastoid fistula, 2 (8%) acute mastoiditis, 3 (12%) labyrinthine fistula, 2 (8%) facial palsy alone and 3 (12%) had multiple extracranial complications (facial palsy with mastoid fistula). Total facial palsy cases were 5 (20%).</p><p><strong>Conclusions:</strong> Most common age group affected were less than 20 yrs of age, females more affected than males, Low socio-economic group children were affected commonly. Ear discharge and ear pain were common presenting complaints. Subperiosteal abscess was most common extracranial complication followed by mastoid fistula, acute mastoiditis and facial palsy. </p>

Mastoid surgery at the Red Cross War Memorial Children's Hospital 1986–1988

1991 ◽  
Vol 105 (6) ◽  
pp. 409-412 ◽  
Author(s):  
C. A. J. Prescott ◽  
J. F. Malan
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Red Cross ◽  
Temporalis Fascia ◽  
Acute Mastoiditis ◽  
Pars Flaccida ◽  
Suppurative Otitis Media ◽  
One Year ◽  
Mastoid Surgery

AbstractEighty-three children between ages 0–12 years had mastoid surgery in the three year period 1986–88. The indications were acute mastoiditis (30 children), uncontrolled chronic suppurative otitis media (CSOM) (24 children), cholesteatoma (22 children) and a miscellaneous group (7 children). Forty-seven per cent of those with acute mastoiditis were under one year but the 27 per cent with cholesteatoma as the precipitating cause were 4–12 years. Twenty-three per cent had significant complications. Typmano-mastoid surgery was employed to resolve uncontrolled CSOM. Children were between 2–12 years and 62 per cent were below the 25th centile for weight. Seventy-nine per cent of the tympanic membrane grafts were successful. The children with cholesteatoma were between 3–12 years and 76 per cent were below the 25th centile for weight. Eight of them only presented after the onset of acute mastoiditis. One child had a definite congenital cholesteatoma. Only one had a pars flaccida origin of the cholesteatoma sac and only eight an origin from the postero-superior pars tensa. All had open cavity surgery. When the cavity was lined by temporalis fascia, healing was improved markedly.

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