Intracranial Complications Of Otitis Media

All patients underwent emergency mastoidectomy within the first 24 h after clear diagnosis. Otorrhea was the next most common adverse effect recorded in 24 children 163.

Choleastoma Middle Ear Eustachian Tube Dysfunction Ear Infection

22-year clinical experience and analysis.

Intracranial complications of otitis media. In our population complications included mastoiditis 861 subperiosteal abscess 38 facial nerve palsy 167 sigmoid sinus thrombosis 83 and epidural abscess 74. The medical records of all children and adults admitted in our center with OIC during the period 2008-2017 were reviewed. Prior to antibiotic era intracranial IC. Therefore holding promise if applied in the rural and peripheral parts of India with limited resources even with absence of the expertise of Neurosurgical Department. Otitis media intracranial complications. Other complications included post-auricular cellulitis otic hydrocephalus and elevated intracranial pressure internal jugular thrombosis cranial nerve VI palsy and.

Extracranial and intracranial complications of otitis media. Intracranial complications secondary to chronic otitis media COM include extradural abscess subdural abscess meningitis with or without encephalitis otogenic brain abscess and lateral or sigmoid sinus thrombosis. However misuse or overuse of antibiotics evoked development of drug resistance of certain bacterial strains causing chronic otitis media. Intracranial Complications of Otitis Media Department of ENT Presenter-Surendra Poudel 201058 2. The first case of a 13-year-old boy with sigmoid sinus thrombosis as a complication of acute otitis media took its course as a. Mastoiditis with subperiosteal abscess was a common presentation of.

Spread of infection from the ear and temporal bone causes intracranial complications of otitis media. Facial paralysis subperiosteal abscess and labyrinthitis were the common complications among the EC group while meningitis and brain. During the eight-year period 19831990 102 cases of intracranial IC and extracranial EC complications from 17 144 suppurative otitis media were reviewed. Intratemporal and Intracranial Complications of Otitis Media. Otogenic brain abscess is the most common and severely life-threatening of all ICCs. Meningitis is the most common reported intracranial complication followed by brain abscess and lateral sinus thrombosis.

Chronic otitis media are potentially serious disease because of their complications. This retrospective study analyzed clinical data and therapeutic options in 33 patients with intracranial involvement resulting from otitis media. 7 patients underwent brain abscess drainage or abscess excision at the time of ear surgery. Twelve patients 429 had received antibiotic treatment prior to admission. In chronic cases complications are usually caused by progressive erosion of the bone thus increasing the risk of damage to facial nerve labyrinth and the dura. The advent of antibiotics has clearly changed the management of otitis media.

The middle ear colonization by anaerobic flora Staphylococcus aureus and Pseudomonas aeruginosa is the cause of recurrent exacerbations of COM and as a consequence IC. The aim of this study was to review the clinical presentation and early signs and symptoms of otogenic intracranial complications OIC in children and adults. Important clinical features of intracranial complications and the sequence of the most efficient therapeutic maneuvers are discussed. The next most common complication was speech or language delay noted in 31 children 211. Intracranial complications included meningitis 16 cases brain abscess 42 cases sigmoid sinus involvement 29 cases extradural abscess 8 cases sub. Early identification with clinical and surgical intervention with mandatory drainage of the middle ear primary disease is essential for a satisfactory outcome in complications of otitis media in the central nervous system.

Intratemporal and intracranial complications of OM are the two major types. The most common intracranial complication is brain abscesses 529 followed by meningitis 294 perisinus abscess 117 and epidural abscess 6. We present two cases of intracranial complications in children 13 and 11 years old originating from acute and chronic otitis media. During the eight-year period 1983-1990 102 cases of intracranial IC and extracranial EC complications from 17 144 suppurative otitis media were reviewed. Chronic otitis media cholesteatoma and brain abscess were diagnosed mainly in adults while acute otitis media and epidural abscess were more frequent in children. Other complications included post-auricular cellulitis otic hydrocephalus and elevated intracranial pressure internal jugular thrombosis cranial nerve VI palsy and Gradenigos syndrome labyrinthine fistula sensorineural hearing loss and cerebellar infarct.

Otological approaches for management of cases of intracranial complications of otitis media are equally comparable with results by neurosurgical approaches of management. Prior to the commercial availability of antibiotics in the 1930s and 1940s otologic surgeons were preoccupied with the treatment of life-threatening complications associated with acute and chronic ear disease. Intracranial Complications of Otitis Media Meningitis Otogenic brain abscess Lateral sinus thrombophlebitis Epidural abscess Subdural abscess Otitic hydrocephalus. At least 65 of human infectious diseases. Age first decade or elderly immunosuppression and presence of cholesteatoma are among the common influencing. Intratemporal complications include the following.

The prevalence of each complication was 024 and 045 per cent respectively. The available and applicable literature dealing with the incidence of the intracranial complications in general and in particular has been reviewed and wherever possible correlated with the data from the authors series. Febrile seizure was documented in 3 children 20 before placement of TTs. Spread of infection occurs through 3 routes namely direct extension thrombophlebitis and. Persistent perforation was noted in 12 children 82. This study is based on the intracranial complications of otitis media as were found in 167 cases in a series of 10000 autopsies.

Sixty-one patients 56 received antibiotics prior to presentation. Hearing loss conductive and sensorineural TM perforation acute and. The prevalence of each complication was 024 and 045 per cent respectively. Intracranial complications as a result of otogenic infections occur even in the antibiotic era. The purpose of this study is to review our experience and management of these serious complications. Twenty-one patients underwent mastoidectomy to eradicate the source of infection.

Otitis Media Intracranial Complications Otitis Otitis Media Media

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