What are the extracranial complications of otitis media?

What are the extracranial complications of otitis media?

The complications of otitis media were classified as extracranial and intracranial. Extracranial complications were mastoiditis, mastoid abscess, mastoid fistula, Bezold’s abscess, Luc’s abscess, zygomatic abscess, facial nerve paralysis, labyrinthitis and labyrinthine fistula.

What are the intracranial and extracranial complications of middle ear cholesteatoma?

The intracranial complications include meningitis, brain abscess, thrombophlebitis of the lateral sinus, extradural abscess and otitic hydrocephalus.

What are the complications of chronic suppurative otitis media?

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.

What is the most common complication of otitis media?

Retrospective review of 135 cases in children treated surgically in an otologic referral practice between 1981 and 1989 revealed that perforation of the eardrum (57 cases) was the most common complication of otitis media, followed by cholesteatoma (54), mastoiditis (16), and atelectasis of the eardrum (eight).

What are intracranial complications?

Intracranial complications include focal collections (abscesses and empyemas), meningitis, encephalitis, and dural sinus thrombophlebitis.

What are complications of mastoiditis?

Complications of mastoiditis include the following:

  • Hearing loss.
  • Facial nerve palsy.
  • Cranial nerve involvement.
  • Osteomyelitis.
  • Petrositis.
  • Labyrinthitis.
  • Gradenigo syndrome – Otitis media, retro-orbital pain, and abducens palsy.
  • Intracranial extension – Meningitis, cerebral abscess, epidural abscess, subdural empyema.

What is Csom in ear?

Chronic suppurative otitis media (CSOM) is the result of an initial episode of acute otitis media and is characterized by a persistent discharge from the middle ear through a tympanic perforation. It is an important cause of preventable hearing loss, particularly in the developing world.

What bacterial infection can occur as a complication of otitis media?

Predominant bacteria that cause otitis media are Streptococcus pneumoniae, Moraxella catarrhalis, and non-typeable Haemophilus influenzae.

What causes chronic otitis media?

Frequent upper respiratory tract infections and poor socioeconomic conditions (e.g., overcrowded housing, poor hygiene and nutrition) are often associated with the development of chronic suppurative otitis media.

What is a complication of chronic otitis media with effusion?

This condition is associated with delayed language development in children younger than 10 years, and the loss is usually conductive, with an average air conduction threshold of 27.5 decibels (dB), but otitis media with effusion has also been associated with sensorineural hearing loss.

What are the complications of sinusitis?

Potentially life-threatening intracranial complications of sinusitis include subdural empyema, epidural and intracerebral abscess, meningitis, and sinus thrombosis. Patients with intracranial complication of sinusitis can present without neurological signs, which may delay diagnosis and correct treatment.

What are intracranial complications of sinusitis?

By some estimates, sinusitis has replaced otitis media as the leading cause of intracranial abscesses. Intracranial complications include focal collections (abscesses and empyemas), meningitis, encephalitis, and dural sinus thrombophlebitis.

What are the possible complications of complex sinus occlusion (CSOM)?

The most common intracranial complication was lateral sinus thrombophlebitis (19.5%), followed by perisigmoid sinus abscess (13.5%), meningitis (9%), brain abscess (6.5%), and extradural abscess (4.5%). Most frequent intraoperative finding of complicated CSOM patients was cholesteatoma, with the exception of patients with facial nerve paralysis.

What is the most common extracranial complication of mastoiditis?

The mastoid abscess was the commonest extracranial complication (28.3%); it was followed by labyrinthitis (9%), facial nerve paralysis (8.4%), and Bezold’s abscess (1.3%).

What is the prevalence of complex sinus occlusiveomyositis (CSOM)?

Of the 121 complicated CSOM patients, 57 extracranial (47.1%) and 37 intracranial (30.6%). Multiple combined complications were occurred in 27 (22.3%) patients. The mastoid abscess was the commonest extracranial complication (28.3%); it was followed by labyrinthitis (9%), facial nerve paralysis (8.4%), and Bezold’s abscess (1.3%).

What is the prevalence of cholesteatoma with polyps (CSOM)?

During this period 4,630 patients with CSOM were admitted to the department and 906 patients underwent a surgery. From the records of the 4,630 patients, 121 patients (2.6%) with complications were identified. Of the 906 CSOM patients that underwent a surgery, 511 had cholesteatoma, and 395 had granulation and/or polyp tissue.

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