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Complications of Chronic Suppurative Otitis Media and Their Management: A Single Institution 12 Years Experience

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Abstract

To determine the incidence of otogenic complications of Chronic suppurative otitis media (CSOM) and its management. The study was conducted at the tertiary referral centre and teaching hospital. An analysis was made about the clinical and operative findings, surgical techniques and approaches, the overall management and recovery of the patient. The data were then compared with the relevant and available literature. Over the study period of 12 years, a total 45 cases of CSOM with complications were reviewed. Out of these 45 cases, 20 cases had extracranial (EC) while 25 cases had intracranial (IC) complications. The prevalence of each complication was 0.17 and 0.13 %, IC and EC respectively. The commonly encountered IC complications were brain abscess, meningitis and lateral sinus thrombophlebitis. Among the EC complications, mastoid abscess followed by labyrinthitis and facial nerve palsy were encountered. The reliable warning signs and symptoms of IC complications were fever, headache, earache vestibular symptoms, meningeal signs and impairment of consciousness. Proteus mirabilis, Pseudomonas aeruginosa, Staphylococcus epidermidis were the common organism isolated. Cholesteatoma and granulation in the middle ear were the major findings in both groups of cases. Surgery was main modality of management of these conditions. We observed that two patients fail to regain full facial nerve function despite of surgery. Mortality rate was zero but morbidity was seen in 15 % (3) and 28 % (7) of cases in EC and IC group respectively. The epidemiological presentation, clinical features and results of treatment are discussed. CSOM complications, despite its reduced incidence still pose a great challenge in developing countries, as the disease present in the advanced stage leading to difficulty in management and consequently higher morbidity. In this study we emphasize the importance of the accurate and early diagnosis followed by adequate surgical therapy with multidisciplinary approach.

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References

  1. Kangsanarak J, Fooanant S, Ruckphaopunt K et al (1993) Extracranial and intracranial complications of suppurative otitis media; report of 102 cases. J Laryngol Otol 107(11):999–1004

    Article  CAS  PubMed  Google Scholar 

  2. Pennybacker J, Dixon JW, Fulton CJ, Dawes JD (1961) Discussion on intracranial complications of otogenorigin. Proc R Soc Med 54:309–320

    CAS  PubMed  Google Scholar 

  3. Dubey SP, Larawin V (2007) Complications of chronic suppurative otitis media and their management. Laryngoscope 117(2):264–267

    Article  PubMed  Google Scholar 

  4. Singh B, Maharaj TJ (1993) Radical mastoidectomy—its place in otitic intracranial complications. J Laryngol Otol 107(12):1113–1118

    Article  CAS  PubMed  Google Scholar 

  5. Osma U, Cureoglu S, Hosoglu S (2000) The complications of chronic otitis media: report of 93 cases. J Laryngol Otol 114(02):97–100

    Article  CAS  PubMed  Google Scholar 

  6. Samuel J, Fernandes CM, Steinberg JL (1986) Intracranial otogenic complications: a persisting problem. Laryngoscope 96(3):272–278

    Article  CAS  PubMed  Google Scholar 

  7. Syms MJ, Tsai PD, Holtel MR (1999) Management of lateral sinus thrombosis. Laryngoscope 109(10):1616–1620

    Article  CAS  PubMed  Google Scholar 

  8. Kutluhan A, Kiriş M, Yurttaş V, Kiroğlu AF, Unal O (2004) When can lateral sinus thrombosis be treated conservatively? J Otolaryngol 33(2):107–110

    Article  PubMed  Google Scholar 

  9. Kangsanarak J, Navacharoen N, Fooanant S, Ruckphaopunt K (1995) Intracranial complications of suppurative otitis media: 13 years’ experience. Am J Otol 16(1):104–109

    CAS  PubMed  Google Scholar 

  10. Mathews TJ, Oliver SP (1988) Bacteriology of mastoiditis, 5 year experience. J Laryngol Otol 102:397–398

    Article  CAS  PubMed  Google Scholar 

  11. Myers EN, Ballantine HT (1965) The management of otogenic brain abscess. Laryngoscope 75:273–288

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of ENT & Head Neck Surgery, J.L.N.Hospital & Research Centre, Quarter 5B, Street no. 28, Sector 9, Bhilai, Dist. Durg, 490009, Chhattisgarh, India

    Neeta Sharma, Ashwin Ashok Jaiswal, Praveer Kumar Banerjee & Amrish Kumar Garg

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  1. Neeta Sharma
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  2. Ashwin Ashok Jaiswal
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  3. Praveer Kumar Banerjee
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  4. Amrish Kumar Garg
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Correspondence to Neeta Sharma.

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Sharma, N., Jaiswal, A.A., Banerjee, P.K. et al. Complications of Chronic Suppurative Otitis Media and Their Management: A Single Institution 12 Years Experience. Indian J Otolaryngol Head Neck Surg 67, 353–360 (2015). https://doi.org/10.1007/s12070-015-0836-5

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  • DOI: https://doi.org/10.1007/s12070-015-0836-5

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