Acute complications of otitis media in adults

Leskinen, Kimmo; Jero, Jussi

doi:10.1111/j.1749-4486.2005.01085.x

Cited by 93 publications

(83 citation statements)

References 26 publications

(47 reference statements)

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“…Meningite foi detetada em 11 casos (39,29%), sendo a complicação mais frequente nesta série (Tabela 2). Ainda assim, ocor- [5][6][7] Os abcessos cerebrais relacionados com otite média têm quase sempre uma localização adjacente ao osso temporal, quase exclusivamente no lobo temporal e cerebelo. Essa localização característica é indicativa do mecanismo principal da infeção que progride através dos limites ósseos do osso temporal por processos de osteíte e erosão óssea.…”

Section: Resultadounclassified

Complicações Intracranianas de Otite Média: A Experiência de 7 Anos do Hospital de Braga

Pereira

Miranda

Breda

et al. 2017

Gaz Med

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RESUMOINTRODUÇÃO: As complicações intracranianas de otite média representam uma situação relacionada com alta taxa de mortalidade, manifestando-se de forma aguda e constituindo urgências médicas e cirúrgicas. São definidas como disseminação do processo inflamatório/infecioso para além dos espaços pneumatizados do ouvido médio, tendo variadas formas de apresentação. MATERIAL E MÉTODOS: Consulta dos processos clínicos dos doentes com patologia otológica e patologia intracraniana entre 2008 e 2014 admitidos no Hospital de Braga. Características dos pacientes, diagnósticos otológicos e neurológicos, resultados microbiológicos, abordagem terapêutica e evolução clínica foram os parâmetros analisados. RESULTADOS: Obteve-se um total de 19 doentes, com uma idade média de 40,4 anos. Febre persistente e cefaleias foram os principais sintomas encontrados. Otite média aguda foi o diagnóstico otológico mais associado a complicação intracraniana. Seis pacientes apresentavam mais do que uma complicação, resultando num total de 28, quase metade das quais correspondendo a meningite. DISCUSSÃO: Após comparação com estudos semelhantes da literatura, verificamos que os nossos resultados são semelhantes aos já encontrados, exceto no que diz respeito à principal etiologia das complicações intracranianas. CONCLUSÃO: As complicações intracranianas de otite média devem ser consideradas situações de alto risco que requerem intervenção médica imediata. PALAVRAS-CHAVE

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Section: Resultadounclassified

Complicações Intracranianas de Otite Média: A Experiência de 7 Anos do Hospital de Braga

Pereira

Miranda

Breda

et al. 2017

Gaz Med

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“…Further spread of infection may lead to petrositis, meningitis, subarachnoid abscess, subdural abscess, encephalitis, brain abscess formation, sigmoid sinus venous thrombosis, lateral venous sinus thrombosis, and otitic hydrocephalus. 3,5,15 Patients with such intracranial complications present with fever, headache, mental state changes, neck rigidity, blurring of vision, with or without focal neurological deficits. Acute necrotic otitis is another major complication of otitis media.…”

Section: Complications Of Otitis Mediamentioning

confidence: 99%

“…It is estimated that one in each four patients with severe complications due to otitis media develop permanent hearing loss. 15 Spread of infection to labyrinth leads to acute labyrinthitis and facial palsy. Patients with acute labyrinthitis experience vertigo and imbalance, whereas patients with facial palsy develop acute mouth deviation and difficulty with eye closure.…”

Section: Complications Of Otitis Mediamentioning

confidence: 99%

Otitis media among elderly: incidence, complication and prevention

Al-Sadeeq

Algarni

Alobaid

et al. 2018

Int J Community Med Public Health

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Though often considered a disease of children, otitis media can affect the elderly. The incidence of otitis media among elderly population is variable among countries, but generally low, with a value ranging from 0.25-9%. However, dangerous complications may occur. Otitis media is a complex spectrum of diseases that include acute otitis media, otitis media with effusion, suppurative otitis media, and mastoiditis. Otitis media in elderly doesn’t feature the classical presentation in children. Elderly patients experience otalgia with or without hearing loss or signs of inflammation. Infection may spread to either to adjacent structures leading to mastoiditis, petrositis, labyrinthitis, or facial nerve palsy, or intracranially leading to meningitis, subarachnoid abscess, subdural abscess, encephalitis, brain abscess, lateral or sigmoid venous sinus thrombosis, and otitis hydrocephalus. The mainstay strategies for prevention of otitis media are the adequate proper treatment of each infection, and tight control of modifiable risk factors such as tobacco smoking, immunosuppression, upper respiratory tract infection, allergy, and craniofacial abnormalities. Antimicrobial treatment should be continued for at least 10-14 years.

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“…This is primarily due to the anatomical and physiological connection of the middle ear with the inner ear and topographic proximity to the meninges, which can be instrumental in the development of severe cerebral complications [11]. The most common pathology of the middle ear leading to hearing loss and requiring surgical treatment is chronic suppurative otitis media.…”

Section: Introductionmentioning

confidence: 99%

Optical coherence tomography in diagnosing inflammatory diseases of ENT

Meller

Shakhova

Rilkin

et al. 2014

Photonics &Amp; Lasers in Medicine

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Abstract:The object of the study was to demonstrate the abilities of optical coherence tomography (OCT) technique in diagnostics of inflammatory processes in ear, nose, and throat (ENT). When used in diagnostics of the nose and pharynx, OCT facilitates differential diagnostics of rhinitis enabling differentiation between the normal state, two stages of allergic rhinitis, vasomotor and atrophic rhinitis and diagnostics of pharyngitis. This paper also demonstrates the ability of OCT to monitor changes in pharynx induced by cryotherapy. In diagnostics of the tympanic cavity the ability of OCT to differentiate between different stages of chronic otitis and retraction of the tympanic membrane is demonstrated. Finally a correlation is discussed between morphologic alterations induced by inflammatory processes and changes in diagnostic OCT images.

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Acute complications of otitis media in adults

Cited by 93 publications

References 26 publications

Complicações Intracranianas de Otite Média: A Experiência de 7 Anos do Hospital de Braga

Complicações Intracranianas de Otite Média: A Experiência de 7 Anos do Hospital de Braga

Otitis media among elderly: incidence, complication and prevention

Optical coherence tomography in diagnosing inflammatory diseases of ENT

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