Intracranial complications of CSOM in pediatric patients: A persisting problem in developing countries

Jain, Avani; Arora, Nikhil; Meher, Ravi; Passey, Jigyasa; Bansal, Ramanuj

doi:10.1016/j.ijporl.2017.06.038

Cited by 21 publications

(18 citation statements)

References 17 publications

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“…Bununla birlikte, gelişmekte olan ülkelerdeki raporlar özellikle otitis media hastalarında intrakraniyal komplikasyonların prevalansının yüksek olduğunu göstermektedir. 2 Olgumuzda kronik otitis mediaya bağlı gelişen serebellar apse mevcuttu. Kronik otitis mediaya bağlı en sık görülen kafa içi komplikasyon açısından literatürde farklılıklar vardır.…”

Section: Discussionunclassified

“…Cerrahi sonrası geniş spektrumlu intravenöz antibiyotik tedavisinin süresi açısından literatüre bakıldığında 4-6 hafta olduğu belirtilmektedir. 2,6 Olgumuzda da postoperatif antibiyotik tedavisi 4 hafta olarak planlandı. Ancak, kontrol radyolojik tetkiklerinde, apse bulgusu kaybolmasına rağmen mastoid kavitede devam eden şüpheli koleksiyon sahası nedenli tedavi 3 aya tamamlandı.…”

Section: Discussionunclassified

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Cerebellar Abscess as a Serious and Uncommon Complication of Chronic Otitis Media

Altiner¹,

Turğut²,

Doğan³

et al. 2019

KBB ve BBC Dergisi

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Section: Discussionunclassified

Cerebellar Abscess as a Serious and Uncommon Complication of Chronic Otitis Media

Altiner¹,

Turğut²,

Doğan³

et al. 2019

KBB ve BBC Dergisi

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“…73 The important intracranial complications are meningitis, brain abscess, venous sinus thrombosis, extradural abscess and subdural abscess. [74][75][76] Regarding intracranial complications, older children with CSOM are at greatest risk. The most important extracranial complication is mastoiditis (incidence of approximately 4-12 per 100 000 in young children, and approximately 1-6 per 100 000 across all ages in high-income countries).…”

Section: Treatment Of Otitis Media Complicationsmentioning

confidence: 99%

Preventative and medical treatment of ear disease in remote or resource-constrained environments

et al. 2019

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BackgroundImportant ear problems can affect the outer ear, the middle ear and the inner ear. Globally, the greatest burden of disease is due to ear conditions that are associated with otorrhoea and hearing loss.MethodsThis study reviewed the literature on the prevention and treatment of common ear conditions that are most relevant to settings with high rates of ear disease and limited resources. The grading of recommendations assessment, development and evaluation (‘GRADE’) approach was utilised to assess interventions.ResultsAccurate diagnosis of ear disease is challenging. Much of the preventable burden of ear disease is associated with otitis media. Nine otitis media interventions for which there is moderate to high certainty of effect were identified. While most interventions only provide modest benefit, the impact of treatment is more substantial in children with acute otitis media with perforation and chronic suppurative otitis media.ConclusionDisease prevention through good hygiene practices, breastfeeding, reducing smoke exposure, immunisation and limiting noise exposure is recommended. Children with acute otitis media with perforation, chronic suppurative otitis media, complications of otitis media, and significant hearing loss should be prioritised for medical treatment.

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“…Both OME and AOM can result in conductive hearing loss and approximately 29% to 50% of all pediatric upper respiratory tract infections have a coincident AOM episode (Heikkenen and Ruuskanen, ; Koivunen et al, ; Revai et al, ). Additional sequelae of AOM include pneumonia, meningitis, mastoiditis, intracranial abscesses, and tympanic membrane perforation accompanied by otorrhea (Kuczkowski and Mikaszewski, ; Jain et al, ).…”

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confidence: 99%

Reconstructing the Neanderthal Eustachian Tube: New Insights on Disease Susceptibility, Fitness Cost, and Extinction

Pagano

Márquez

Laitman

2019

The Anatomical Record

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Neanderthals are among the best studied and yet most enigmatic fossil human groups with aspects of their anatomy and functional morphology remaining poorly understood. We present the first anatomical reconstruction of the Neanderthal cartilaginous Eustachian tube (CET), a vital component of the upper respiratory tract and nexus for the middle ear and postnasal airway. The Eustachian (auditory, pharyngotympanic) tube, comprised of a bony and cartilaginous (CET) portion, is integral to normal physiological functions such as middle ear aeration and pressure equilibration. Findings indicate that Neanderthal tubal morphology may have predisposed them to high rates of middle ear disease (otitis media [OM]). In living humans, mechanical CET dysfunction underlies OM in infants and young children, with sequelae including hearing loss, meningitis, and pneumonia. Despite proven linkage of CET malfunction with OM, the role of CET morphology in Neanderthal health and disease remains unstudied. We reconstructed Neanderthal CET morphology, comparing their crania to a modern human growth series. Methods included geometric morphometrics and univariate measures among Procrustes‐fitted coordinates. Results showed Neanderthal adults exhibiting primitively tall and narrow nasopharynges with infant‐like horizontal CET and choanal orientation. As horizontal CET orientation is associated with increased OM incidence in infants and children until around age six, its appearance in Neanderthal adults strongly indicates persistence of high OM susceptibility at this time. This could have compromised fitness and disease load relative to sympatric modern humans, affecting Neanderthals' ability to compete within their ecological niche, and potentially contributing to their rapid extinction. Anat Rec, 302:2109–2125, 2019. © 2019 American Association for Anatomy

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Intracranial complications of CSOM in pediatric patients: A persisting problem in developing countries

Cited by 21 publications

References 17 publications

Cerebellar Abscess as a Serious and Uncommon Complication of Chronic Otitis Media

Cerebellar Abscess as a Serious and Uncommon Complication of Chronic Otitis Media

Preventative and medical treatment of ear disease in remote or resource-constrained environments

Reconstructing the Neanderthal Eustachian Tube: New Insights on Disease Susceptibility, Fitness Cost, and Extinction

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