Management of unsafe type of chronic suppurative otitis media with extracranial complications at a tertiary care center

Kandakure, Vinod Tukaram; Khokle, Pradipkumar; Shah, Udit Rohit

doi:10.4103/indianjotol.indianjotol_15_18

Cited by 1 publication

(1 citation statement)

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“…Due to advent of antibiotics and early diagnosis of unsafe CSOM; incidences of complications has decreased, but once in a while it shows appearance in a developing country especially in those who neglected long standing otorrhea. 11 Commonly SCAST report showed pseudomonas responsible for long standing otorrhea in petrositis. 12 In our study majority cases were male of age group in third decade.…”

Section: Discussionmentioning

confidence: 99%

Gradenigo’s syndrome: a petrous apex lesion

Kale¹,

Gaikwad²,

Chhabria³

2020

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Unsafe chronic suppurative otitis media (CSOM) requires early attention, otherwise leads to various extracranial and intracranial complications. Petrositis is one of the complications of temporal bone due to unsafe CSOM leading to inflammation or abscess in the petrous apex along with involvement cranial nerves V and VI nerve and leading to a trio of symptoms like ipsilateral otorrhea, deep facial pain and ipsilateral lateral rectus palsy, this clinical trio collectively called as Gradenigo’s syndrome. We have done retrospective study of 3 cases who were presented to our tertiary care centre ENT-OPD with symptoms suggestive of Gradenigo’s syndrome. Cases selected by simple random sampling. Cases with ear malignancy was excluded from study. Cases were followed up for 3 months and results were analysed. Petrositis if ignored can lead to rare but fatal complication of unsafe CSOM. Common in males in third decade and the ear swab suggestive of common organism was pseudomonas. Medical management given as per culture and sensitivity report of ear swab and then followed by definitive surgery of canal wall down tympano-mastoidectomy with petrous apex decompression.</p>

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Section: Discussionmentioning

confidence: 99%