Clinical and operative study of otogenic intracranial complications

Geetha Kishan Siddapur, B. Sundararajan, Kishan R. Siddapur

Abstract


Background: Chronic otitis media is chronic inflammation of the mucoperiostial lining of the middle ear cleft. The prevalence of chronic otitis media and its intracranial complications poses a major public health problem in developing countries like India. By this study; we authors have attempted to highlight the significance of various etiological factors in the occurrence of intracranial complications due to chronic otitis media.

Methods: The study was done prospectively in the department of otorhinolaryngology, J.A. group of hospitals, G. R. medical college, Gwalior during the period October 2007-2008. Thirty patients presenting to ear, nose and throat unit, diagnosed as having intracranial complications due to chronic otitis media were included in this study.

Results: Most intracranial complications cases were that of meningitis. One third of the cases had past surgical history like mastoid exploration and incision & drainage of post aural abscess, and one fourth of the cases had associated extracranial complications like post aural abscess, lower motor neuron palsy, labrynthitis.

Conclusion: The present study and the reference studies, both reveal that the intracranial complications of chronic otitis media are still common till date, and their signs and symptoms are often subtle until late in the course of the disease. Hence, clinicians need to maintain high index of suspicion to avoid delay in diagnosis as morbidity and mortality rates are still high, even with the advent of modern antimicrobials and aggressive surgical intervention.

 


Keywords


Chronic, Otitis, Media, Intracranial, Complications

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References


Dew LA, Shelton C. Complications of temporal bone infections. In: Cummings CS, eds. Otorhinolaryngology. Head & Neck Surgery. 3rd ed. St. Louis: Mosby; 1999: 3047-3075.

Singh B, Maharaj TJ. Radical mastoidectomy, its place in otitic intracranial complications. J Larynjol Otol. 1993;38:187-90.

Syms MJ, Tsai PD, Holtel MR. Management of lateral sinus thrombosis. Laryngoscope. 1999;109:1616-20.

Rao BN, Reddy MS. Chronic supporative otitis media: a prospective study. Indian J Otolaryngol Head Neck Surg. 1994;3(2):72-77.

Samuel J, Fernandes CM, Steinberg JL. Intracranial otogenic complications: a persisting problem. Laryngoscope. 1986;96:272-8.

Rupa V, Raman R. Chronic suppurative otitis media: complicated versus uncomplicated disease. Acta Otolaryngol. 1991;111:530-5.

Kangsanark J, Foonant S, Ruckphaopunt K, Narachorean N, Teotrakul S. Extracranial and intracranial complications of suppurative otitis media. J Laryngol Otol. 1993;107:999-1004.

Osma U, Cureoglu S, Hosoglu S. The complications of chronic otitis media. J laryngol Otol. 2000;114:97-100.

Migirov L, Duvdevani S, Kronenberg J. Otogenic intracranial complications: a review of 28 cases. Acta Otolaryngol. 2005;125(8):819-22.

Shamboul KM, Omdurman S. An unusual prevalence of complication of chronic suppurative otitis media in young adult. J Laryngol Otol. 1992;106:874-7.