Postauricular cutaneous mastoid fistula

Postauricular cutaneous mastoid fistula is a rare condition. The cutaneous mastoid fistula is a very rare complication of chronic suppurative otitis media. The fistula tracts are typically difficult to manage because of the surrounding necrotic skin edges. We describe an unusual case of a postauricular cutaneous mastoid fistula and outline the surgical technique used for closure.

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Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis

Journal of Neurosciences in Rural Practice ◽

10.4103/0976-3147.145202 ◽

2014 ◽

Vol 05 (S 01) ◽

pp. S048-S052 ◽

Cited By ~ 1

Author(s):

Olufemi Emmanuel Idowu ◽

Vincent A. Adekoya ◽

Adesegun P. Adeyinka ◽

Bogofanyo K. Beredugo-Amadasun ◽

Olawale O. Olubi

Keyword(s):

Confidence Interval ◽

Otitis Media ◽

Rare Complication ◽

Chronic Suppurative Otitis Media ◽

Optimal Outcome ◽

Suppurative Otitis Media ◽

Radiological Features ◽

Life Threatening ◽

Relationship Of ◽

Intracranial Suppuration

ABSTRACT Introduction: Surgically treated intracranial suppurations (ICS) are uncommon, life-threatening neurosurgical emergencies. They can result from complication of chronic suppurative otitis media (CSOM) and bacterial rhinosinusitis (BRS). The objective of this study was to know the frequency of BRS and CSOM and relate it to its rare complication of surgically treated ICS while also describing the demography, type and outcome of ICS that resulted from BRS and CSOM. Materials and Methods: All patients that presented to the Otorhinolaryngological department and Neurosurgical unit of the same institution with clinical and radiological features of CSOM, BRS, and ICS were prospectively studied over a 5-year period. Patients were followed up for a minimum of 3 months. Results: Two thousand, two hundred and seventy-nine patients presented during the 5-year study period. Of all these patients, 1511 had CSOM (66.3%) and 768 (33.7%) presented with features of BRS. Eleven (0.73%) had ICS complicating their CSOM while 8 (1.04%) cases of surgically treated ICS followed BRS. Bacterial rhinosinusitis was not more likely to lead to ICS (P = 0.4348). The Odds ratio (OR) of a child ≤ 18 years of age with CSOM developing ICS was 5.24 (95% Confidence interval 1.13-24.34; P = 0.0345), while it was 7.60 (95% Confidence interval 1.52-37.97; P = 0.0134) for children with BRS. Conclusions: The most common type of ICS complicating CSOM and BRS was brain abscess and subdural empyema, respectively. Children are more prone to develop surgical ICS following CSOM and BRS. The proportion of males that had ICS was higher in both CSOM and BRS patients. Optimal outcome is achieved in patients that presented with GCS of 13 and above.

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

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20150589 ◽

2015 ◽

Vol 1 (1) ◽

pp. 48 ◽

Cited By ~ 1

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

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.

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Pseudomonas cervical osteomyelitis with retropharyngeal abscess: an unusual complication of otitis media

The Journal of Laryngology & Otology ◽

10.1258/002221505774481309 ◽

2005 ◽

Vol 119 (10) ◽

pp. 816-818 ◽

Cited By ~ 4

Author(s):

C A Paul ◽

A Kumar ◽

V V Raut ◽

A Garhnam ◽

N Kumar

Keyword(s):

Pseudomonas Aeruginosa ◽

Otitis Media ◽

Unusual Case ◽

Rare Complication ◽

Retropharyngeal Abscess ◽

Unusual Complication ◽

Suppurative Otitis Media ◽

Mucosal Disease ◽

Haematogenous Spread ◽

Mastoid Antrum

We present the unusual case of a 54-year-old diabetic man with chronic suppurative otitis media, presenting with cervical osteomyelitis and retropharyngeal abscess. This was treated with decompression, debridement and fusion from C2 to C4 with external halo-frame stabilization. Pseudomonas aeruginosa was cultured from the ear and the osteomyelitis specimen. Exploration of the left ear showed evidence of mucosal disease, with granulations in the middle ear and oedematous mucosa in the mastoid antrum, but no evidence of dural-plate dehiscence. Haematogenous spread probably led to cervical osteomyelitis and retropharyngeal abscess formation. Cervical osteomyelitis may develop as a rare complication and present as a cause of severe neck pain in patients with otitis media.

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Abses subgaleal sebagai komplikasi otitis media supuratif kronis

Oto Rhino Laryngologica Indonesiana ◽

10.32637/orli.v45i1.107 ◽

2015 ◽

Vol 45 (1) ◽

pp. 61

Author(s):

Riska Adriana ◽

Sally Mahdiani ◽

Bogi Soeseno ◽

Arif Dermawan

Keyword(s):

Early Diagnosis ◽

Otitis Media ◽

Rare Complication ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media ◽

Appropriate Treatment ◽

Subgaleal Space

Latar belakang: Abses subgaleal merupakan salah satu komplikasi yang jarang dari otitis media supuratif kronis. Abses subgaleal ditemukan sekitar 32,4%, namun baru satu kasus mastoiditis dengankomplikasi abses subgaleal pada pasien dewasa yang pernah dilaporkan. Tujuan: Laporan kasus inidimaksudkan untuk mempresentasikan gambaran klinis dan diagnosis, serta penatalaksanaan dari otitismedia supuratif kronis dengan komplikasi abses subgaleal. Kasus: Satu kasus otitis media supuratifkronis dengan komplikasi mastoiditis dan terjadi perluasan infeksi ke ruang subgaleal pada seorang wanitaberumur 21 tahun, gravida 35 minggu. Penatalaksanaan: Dilakukan insisi drainase di temporoparietal,kemudian dilakukan mastoidektomi setelah tindakan terminasi kehamilan. Kesimpulan: Abses subgalealadalah salah satu komplikasi yang jarang terjadi akibat dari otitis media supuratif kronis. Diagnosis secaradini dan penatalaksanan yang tepat akan menentukan tingginya keberhasilan. Kata kunci: Otitis Media Supuratif Kronis, abses subgaleal, gravidaABSTRACT Background: Subgaleal abscess is a rare complication of chronic suppurative otitis media. Subgaleal abscess was found about 32,4%, but only one case of subgaleal abscess as a complication of mastoiditisin adult had been reported. Purpose: To present the clinical and diagnostic findings along with themanagement of subgaleal abscess with mastoidectomy. Case: A case of chronic suppurative otitis mediawith mastoiditis complication and extension into subgaleal space that was found in a 21 years old, 35weeks gravid woman. Management: Drainage incision at temporofacial region and later, mastoidectomyafter childbirth. Conclusion: Subgaleal abscess is one of the rare complications of chronic suppurativeotitis media. Early diagnosis and appropriate treatment will improve the outcome. Keywords: Chronic suppurative otitis media, subgaleal abscess, gravida

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Bezold’s abscess: a rare complication of chronic suppurative otitis media in a 13 year old female child

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20171208 ◽

2017 ◽

Vol 3 (2) ◽

pp. 437

Author(s):

Shankar G. ◽

Geeta Kurle ◽

Puneeth Puneeth

Keyword(s):

Hearing Loss ◽

Case Report ◽

Otitis Media ◽

Conductive Hearing Loss ◽

Rare Complication ◽

Female Child ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media ◽

The Past ◽

Conductive Hearing

Suppurative otitis media is one of the most common ear diseases in developing countries. The advent of antibiotics has decreased the otogenic complications of this disease. Benzold’s abscess is one such rare complication of chronic suppurative otitis media. The study was done with the objective to report a case of a patient presenting with Bezold’s abscess as a complication of chronic suppurative otitis media. The case report included a 13 year old female presented with a complaint of foul smelling and scanty discharge in left ear for the past 2 years. She developed fever & a painful swelling in left side of neck extending from the tip of mastoid to the angle of mandible which was of 1 week duration. Clinical examinations and investigations revealed as left sided chronic suppurative otitis media (active squamosal type) with severe conductive hearing loss with a rare extracranial complication of Bezold’s abscess. Chronic suppurative otitis media can lead to a rare complication of Bezold’s abscess.

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Perbedaan sensitivitas tetes telinga antibiotik terhadap Pseudomonas aeruginosa pada otitis media supuratif kronik

Oto Rhino Laryngologica Indonesiana ◽

10.32637/orli.v42i2.22 ◽

2012 ◽

Vol 42 (2) ◽

Author(s):

Anton Budhi Darmawan ◽

Dwi Utami Anjarwati

Keyword(s):

Pseudomonas Aeruginosa ◽

Otitis Media ◽

Chronic Suppurative Otitis Media ◽

Test Results ◽

Sectional Study ◽

Suppurative Otitis Media ◽

Number Of Patients ◽

Significant Difference ◽

Cochran Test ◽

Post Hoc

Background: Chronic suppurative otitis media (CSOM) is one infectious disease of the middle ear, most commonly caused by Pseudomonas aeruginosa. A high number of patients come to the ENT outpatient clinic with active benign type of CSOM. The bacteria Pseudomonas aeruginosa is capable of producing biofilm which protects itself from penetration of antibiotics, and therefore creates resistance towards antibiotics and difficult to eradicate. Objective: The aim of this study was to compare the sensitivity levels of chloramphenicol, polymyxin-neomycin, cyprofloxacin and ofloxacine against Pseudomonas aeruginosa in patients with active benign type CSOM in ENT clinic. Method: The method used was across sectional study on 25 patients, from August 2010 until December 2010. Samples were taken withear swab and then put on sensitivity test to chloramphenicol, polymyxin-neomycin, cyprofloxacin andofloxacine using the diffusion disc method. The analysis used in this study was Cochran test. Results: Results showed a significant difference in sensitivity among chloramphenicol (38,70%), polymyxinneomycin(83,87%),cyprofloxacin(90,32%)andofloxacin(58,06%)withp=0,000(p<0,05).PostHocanalysisusing the Mc Nemar indicated that there were significant differences in sensitivity betweenpolymyxin-neomycin to chloramphenicol with p=0,000 (p<0,05), ciprofloxacin to chloramphenicol andciprofloxacin to ofloxacine with p= 0,002, but there were no significant differences between cyprofloxacinto polymyxin-neomycin with p=0,687, polymyxin-neomycin to ofloxacin p=0.057 and ofloxacin tochloramphenicol p=0,109. There were significant differences in antibiotic ear dropssensitivity to Pseudomonas aeruginosa in patients with active benign type of CSOM. Cyprofloxacin andpolymyxin-neomycin were more sensitive than ofloxacin and chloramphenicol. Keywords: Pseudomonas aeruginosa, active benign type of chronic suppurative otitis media, antibioticear drops. Abstrak : Latar belakang: Otitis media supuratif kronik (OMSK) merupakan penyakit infeksi kronik telinga tengah yang sering dijumpai di klinik THT. Penyebab tersering OMSK adalah bakteri Pseudomonasaeruginosa. Pseudomonas aeruginosa mempunyai kemampuan untuk membentuk biofilm yangmelindunginya dari penetrasi antibiotik sehingga menimbulkan resistensi terhadap antibiotik dan sulituntuk eradikasinya. Tujuan: Untuk mengetahui perbandingan tingkat sensitivitas kloramfenikol,polimiksin-neomisin, ciprofloksasin dan ofloksasin terhadap isolat Pseudomonas aeruginosa padapasien OMSK benigna aktif di klinik THT RSMS. Metode: Metode yang digunakan adalah crosssectional terhadap 29 pasien OMSK di klinik THT RSMS periode bulan Agustus 2010 - Desember2010. Pengambilan sampel dilakukan dengan swab telinga. Uji sensitivitas terhadap kloramfenikol,polimiksin-neomisin, ciprofloksasin dan ofloksasin dilakukan dengan metode cakram secara difusi.Analisis yang digunakan dalam penelitian ini adalah Cochran dan analisis post hoc. Hasil: Didapatkansensitivitas kloramfenikol sebesar 38,70%, polimiksin-neomisin sebesar 83,87%, ciprofloksasin sebesar90,32% dan ofloksasin sebesar 58,06% dengan p=0,01 (P<0,05), yang menunjukkan adanya perbedaansensitivitas yang bermakna antara kloramfenikol, polimiksin-neomisin, ciprofloksasin dan ofloksasinterhadap Pseudomonas aeruginosa. Analisis post hoc menggunakan Mc Nemar menunjukkan bahwaterdapat perbedaan sensitivitas yang bermakna antara tetes telinga polimiksin-neomisin terhadapkloramfenikol, dan ciprofloksasin terhadap kloramfenikol p=0,000 (p<0,05), serta terdapat perbedaanyang bermakna antara tetes telinga ciprofloksasin terhadap ofloksasin, p=0,002, tetapi tidak terdapatperbedaan yang bermakna antara ciprofloksasin terhadap polimiksin-neomisin, p=0,687, polimiksinneomisinterhadap ofloksasin p=0,057, dan kloramfenikol terhadap ofloksasin p=0,109. Kesimpulan:Terdapat perbedaan sensitivitas yang bermakna tetes telinga antibiotik terhadap Pseudomonas aeruginosa pada pasien OMSK benigna aktif. Ciprofloksasin dan polimiksin-neomisin tetes telinga mempunyai sensitivitas yang lebih baik dibanding ofloksasin dan kloramfenikol. Kata kunci: Pseudomonas aeruginosa, otitis media supuratif kronik, tetes telinga antibiotik

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