scholarly journals Complications of Chronic Suppurative Otitis Media

2016 ◽  
Vol 3 (01) ◽  
pp. 32-37
Author(s):  
Arifullah . ◽  
Syed Zafar Hasan ◽  
Islam Gul ◽  
Waqar -Ud- Din ◽  
Aftab Ahmad

OBJECTIVEThe aim of the study was to find the complications of chronic suppurative otitis media.MATERIAL AND METHODSThe study was descriptive study conducted from 1st January 2008 to 31 December 2010 (3 years duration) at ENT department Khyber Teaching Hospital Peshawar. Total 250 patients of all age having complications due to chronic suppurative otitis media enrolled from admitted patients in ENT department Khyber Teaching Hospital Peshawar were included in the study, using convenience (non-probability) sampling.RESULTSIn total of 250 patients, all (100%) were having history of discharging ear, decreased hearing 250 (100%), earache in 75 (30%), fever in 31(12.4%), headache in 28 (11.2%), nausea and vomiting in 23 (9.2%) patients. The extracranial complications were found in 204/250 (81.6%) patients with mastoiditis being the most common in 155/204 (75.98%) patients followed by sensory reural hearing loss, post auricular abscess, facial paralysis, petrositis, labynthitis, Bezold’s abscess and cetili’s abscess in 7.84%, 6.37%, 5.88%, 1.7%, 0.98%, 0.98% and 0.49% patients respectively. While the intracranial complications were found in 46/250 (18.4%) patients with meningitis being the most common in 28/46 (60.9%) followed by brain abscess in 26%, lateral sinus thrombosis in 8.7% and otitic hydrocephalus in 4.4% patients.CONCLUSIONEarly detection and treatment of complications as a result of chronic suppurative otitis is vital to prevent morbidity and mortality.

2020 ◽  
Vol 2 (2) ◽  
pp. 01-03
Author(s):  
Sedrack Matsiko

The availability of effective antibiotic therapy has tremendously reduced the incidence of otogenic lateral sinus thrombosis (OLST) and changed its clinical presentation to a subtle one. The nature of predisposing otogenic disease has also changed from acute otitis media to chronic suppurative otitis media (CSOM). The prevalence of CSOM is still high in low-income economies. With such a high prevalence of CSOM, a good clinical acumen is required to identify and manage OLST. We present a case of chronic suppurative otitis media (CSOM) complicated by OLST.


2020 ◽  
Vol 3 (6) ◽  
pp. 996-1001
Author(s):  
Khaled Mohamed Mokbel Khalefa

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.


1988 ◽  
Vol 97 (2_suppl) ◽  
pp. 38-40 ◽  
Author(s):  
Orval E. Brown ◽  
William L. Meyerhoff

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.


2003 ◽  
Vol 40 (138) ◽  
pp. 77-82 ◽  
Author(s):  
Naramaya Thapa ◽  
R P Shrivastava ◽  
RC M Amatya ◽  
B K Sinha ◽  
H Bhattarai ◽  
...  

This retrospective study was carried out in the Department of ORL and Head &Neck Surgery, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu.Three hundred patients having atticoantral type of chronic suppurative otitis mediaunderwent emergency or routine mastoid exploration from 14 April 1997 to 12April 2000. Of the 300 patients, 64 (21.33%) had complications. Age of the patientswith complications ranged from 5-38 years. Thirty eight (59.38%) patients were malewhile 26 (40.62%) were female. Forty eight (75%) had extracranial and 15 (23.44%)had intracranial complications while 1 (2.08%) had both extra and intracranialcomplications. Cholesteatoma was present in 233 (77.66%) patients and of these 48(20.60%) had complications. Sixty seven (22.33%) patients had granulation tissue, ofthese 16 (23.88%) had complications.In cholesteatomatous cases 34 (70.83%) hadextracranial complications. Intracranial complications were present in 14(29.17%)cholesteatomatous cases. In patients with granulation tissue extracranial complicationwas present in 14 (87.50%) patients and only one patient had intracranialcomplication.Combination of extra and intracranial complications were found in 1patient with granulation tissue. When compared with types of pathology extracranialcomplications were higher in patients with granulation tissue (87.50% vs 70.83%)and intracranial complications were found more in cholesteatomatous cases (29.17%vs 6.26%). Both these findings were , however, statistically not significant. Reasonsbehind these findings may be presence of granulation tissue beneath the epitheliumof choleateatoma, and association of both types of pathology with infection andinflammatory process.Key Words: Chronic Suppurative Otitis Media, Atticoantral Type, Mastoid Exploration, Complications.


1969 ◽  
Vol 3 (2) ◽  
pp. 328-330
Author(s):  
MAHID IQBAL ◽  
ADNAN ◽  
IHSANULLAH ◽  
SHARAFAT ◽  
MAQBOL UR REHMAN ◽  
...  

OBJECTIVE: To determine the frequency of complications in patients suffering from chronic suppurativeotitis media (CSOM).METHODS: This study was done in Saidu Sharif Teaching Hospital from 1 st March 2010 to 30thJune 2013.In this prospective studies 53 patients ofChronic suppurative otitis media were selected.RESULTS: In our study 31(58.4%) male and 22 (41.5%) were female. Age distribution was from 1 to 10years 11(20.7%), 11 to 20 years 25(47.1%), 21 to 30 years 13(24.5%), 30 to 40 years 04(7.54%). Out of 53patients 28 (52.8%) presented with different complications. Mastoid abscess 10 (18.8 %), Facial nerveparalysis 05 (9.43%), Meningitis 03 (5.66%), Bezold abscess 02 (3.77%), Brain abscess 02 (3.77%), %),Lateral sinus thrombo phlebitis 02 (3.77%), Labrynthitis 02 (3.77%), Ototic hydrocephalus 01(1.88Sigmoid sinus thrombo phlbitis 01 (1.88%).CONCLUSION: Early recognition and treatment of CSOM can reduce the number of cases and complications of the disease.KEYWORDS: CSOM, Complications


2021 ◽  
Vol 14 (5) ◽  
pp. e239403
Author(s):  
Saranya Thangavel ◽  
Lokesh Kumar Penubarthi ◽  
Arun Alexander ◽  
Sunil Kumar Saxena

The following is a case report of an adolescent with mental retardation who had congenital aural atresia with contralateral congenital facial palsy. She developed multiple intracranial complications (cerebellar abscess and lateral sinus thrombosis) due to cholesteatoma. We managed her in a multidisciplinary approach. This report discusses case management, emphasising the meticulous intraoperative steps taken in identifying the landmarks and precautions adopted to avoid postoperative facial palsy and other complications.


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