A case series of complicated infective otitis media requiring surgery in adults

Heah, Harold; Soon, Sue Rene; Yuen, Heng-Wai

doi:10.11622/smedj.2016025

Cited by 9 publications

(7 citation statements)

References 17 publications

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“…3 In a study done by Heah et al median age of presentation was 25 years. 4 In our study mean age of presentation was 23.65±9.571 years. The most common age group of presentation in our study was between 16-25 years (40%) cases which is comparable to the study done by Mohite et al in which 16-25 years (35%) was the most common.…”

Section: Age Distributionmentioning

confidence: 46%

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Intracranial and extracranial complications of chronic otitis media and their management at a tertiary care center: a descriptive study

Chandrashekharayya

Ahmed

Khavasi

2021

Int J Otorhinolaryngol Head Neck Surg

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Background: In the pre-antibiotic era complications from otitis media occurred abundantly, accompanied by high morbidity and mortality. With availability of higher antibiotics, morbidity and mortality due to chronic otitis media (COM) has reduced, but still complications due to COM remain a significant problem in developing countries. The aim is to study clinical presentation, management and outcomes of intracranial and extracranial complications of COM. Study design is retrospective case series study.Methods: Patients admitted in department of otorhinolaryngology and head and neck surgery, S. Nijalingappa medical college and H.S.K hospital and research center, Bagalkot from May 2018 to April 2020 with COM associated with intracranial or extracranial complications were included in the study. Data of clinical presentation, associated complications, management, and follow-up were analyzed.Results: A total of 20 patients were reviewed during study period. Of these seventeen patients had extracranial (EC) complications, while one had intracranial (IC) complications and two had both. Otalgia, otorrhea and fever were the main presenting symptoms. The encountered IC complication were lateral sinus thrombophlebitis, cerebellar abscess. Among the EC complications most common were post-auricular subperiosteal abscess, lateral semicircular canal fistula and facial paralysis. Most commonly isolated organism was staphylococcus. Surgery was main modality of treatment.Conclusions: COM is still a significant problem in developing countries in spite of availability of antibiotics and early diagnosis is crucial in the management of complications associated. This study emphasizes the importance of early diagnosis and prompt treatment to limit the morbidity.

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Section: Age Distributionmentioning

confidence: 46%

“…In a study done by Heah et al the preoperative pure-tone audiograms of eight of the nine patients showed ipsilateral conductive hearing loss with air-bone gaps ranging from 10-40 dB HL. 4…”

Section: Hearing Assessmentmentioning

confidence: 99%

Intracranial and extracranial complications of chronic otitis media and their management at a tertiary care center: a descriptive study

Chandrashekharayya

Ahmed

Khavasi

2021

Int J Otorhinolaryngol Head Neck Surg

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“…Untreated or poorly treated middle-ear disease can still result in serious complications in the post-antibiotic era 10 . Patients with untreated CSOM experience disturbing otorrhoea and hearing loss and are advised not to play water sports; these consequences are greater in those with bilateral ear disease.…”

Section: Discussionmentioning

confidence: 99%

Outcome and cost analysis of bilateral sequential same-day cartilage tympanoplasty compared with bilateral staged tympanoplasty

Olusesi

Oyeniran

2017

J. Laryngol. Otol.

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“…Ve významném poklesu jejich incidence hraje roli především široké využívání antibiotické léčby a dobrá dostupnost lékařského, respektive otorinolaryngologického vyšetření (3). Komplikace vznikají v důsledku zánětů akutních i chronických, u dětských i dospělých pacientů.…”

Section: úVodunclassified

Otogenic cranial sinus thrombosis and epidural abscess

Kostlivý¹,

Herejková²,

Ruml³

et al. 2020

Pediatr. pro Praxi

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Komplikace středoušních zánětů patří mezi vzácné, ale závažné a život ohrožující stavy. I přes dramatický pokles jejich incidence daný rozšířením antibiotické léčby se s nimi můžeme v běžné praxi setkat, a to u akutních i chronických zánětů středouší. Prezentujeme kazuistiku jedenáctiletého chlapce léčeného pro akutní středoušní zánět, u kterého po vyléčení přetrvávala cefalea. Po několika návštěvách praktického lékaře bylo po třech týdnech indikováno zobrazovací vyšetření, které odhalilo závažnou intrakraniální komplikaci -trombózu mozkových žilních splavů a epidurální absces otogenního původu. Stav byl řešen antibiotickou léčbou, antikoagulační terapií nízkomolekulárním heparinem a akutním chirurgickým zákrokem -antromastoidektomií s drenáží epidurálního abscesu. Autoři upozorňují na význam důkladných kontrol u běžného onemocnění, jakým je akutní středoušní zánět, a na nutnost indikace dalších vyšetření v případě podezření na jeho komplikaci.Klíčová slova: akutní středoušní zánět, komplikace, trombóza mozkových splavů, epidurální absces. Otogenic cranial sinus thrombosis and epidural abscessOtitis media complications are among rare but serious and life-threatening conditions. Despite dramatic decrease of their incidence due to widespread antibiotic therapy we can come across them in everyday practice, in case of both acute and chronic middle ear inflammations. We present the case history of an eleven year old boy who was treated for acute otitis media and presented with headache after the treatment was finished. After several check-ups imaging techniques were indicated after three weeks and revealed aserious intracranial complication -otogenic cranial sinus thrombosis and epidural abscess. He was treated with antibiotics, low-molecular-weight heparin and underwent an acute surgery -antromastoidectomy and epidural abscess drainage. Authors point out the importance of careful follow up in acommon disease like acute otitis media as well as the importance of further examination in suspected complication.

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A case series of complicated infective otitis media requiring surgery in adults

Cited by 9 publications

References 17 publications

Intracranial and extracranial complications of chronic otitis media and their management at a tertiary care center: a descriptive study

Intracranial and extracranial complications of chronic otitis media and their management at a tertiary care center: a descriptive study

Outcome and cost analysis of bilateral sequential same-day cartilage tympanoplasty compared with bilateral staged tympanoplasty

Otogenic cranial sinus thrombosis and epidural abscess

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