Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-25T05:23:21.640Z Has data issue: false hasContentIssue false
  • English
  • Français

Extracranial and intracranial complications of suppurative otitis media. report of 102 cases

Published online by Cambridge University Press:  29 June 2007

Jaran Kangsanarak ,
Supranee Fooanant ,
Kobkiat Ruckphaopunt ,
Niramon Navacharoen  and
Sunanta Teotrakul
Jaran Kangsanarak*
Affiliation:
(Chiang Mai, Thailand)
Supranee Fooanant
Affiliation:
(Chiang Mai, Thailand)
Kobkiat Ruckphaopunt
Affiliation:
(Chiang Mai, Thailand)
Niramon Navacharoen
Affiliation:
(Chiang Mai, Thailand)
Sunanta Teotrakul
Affiliation:
(Chiang Mai, Thailand)
*
Dr Jaran Kangsanarak, M.D., Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chian Mai 50002, Thailand
Get access Rights & Permissions [Opens in a new window]

Abstract

During the eight-year period, 1983–1990, 102 cases of intracranial (IC) and extracranial (EC) complications from 17 144 suppurative otitis media were reviewed. The prevalence of each complication was 0.24 and 0.45 per cent respectively. Facial paralysis, subperiosteal abscess and labynnthitis were the common complications among the EC group, while meningitis and brain abscess were common in the IC group. Twenty five per cent of the EC group and 44 per cent of the IC group had more than two complications. The reliable warning signs and symptoms for IC complications were fever, headache, earache, vestibular symptoms, meningeal signs and impairment of consciousness. Proteus spp., Pseudomonas aeuruginosa and Staphylococcus spp. were the commonest organisms isolated from both groups. Cholesteatoma and granulation/polyp in the middle earl mastoid were the major findings in both patient groups. Mortality rate in the IC group was 18.6 per cent. Morbidity rate in each group was 14.3 per cent (EC) and 27.9 per cent (IC) respectively. Epidemiological presentations, clinical features and the result of treatment are discussed.

Keywords

Otitis mediaSuppurativeComplications
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 11 , November 1993 , pp. 999 - 1004
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andrade, J., Arroyo, M. A. (1977) Intracranial complications due to otitis media. Transpacific Coast Otoophthalmology Society Annual Meeting 58: 57–64.Google ScholarPubMed
Bluestone, C. D., Klein, J. O. (1990) Intracranial suppurative complications of otitis media and mastoiditis. In: Pediatric Otolaryngology. 2nd Edition. (Bluestone, C. D., Stool, S. E., Scheetz, M. D., eds.), W. B. Saunders, Philadelphia, pp 537–546.Google Scholar
Dawes, J. D. (1979) Complications of infection of the middle ear. In Scott-Brown's Disease of the Ear, Nose and Throat. 4th Edition: (Ballantyne, J., Grove, J., eds.), Butterworths, London, pp 305–384.Google Scholar
Edison, B. (1980) Bezold's abscess with extension to the supracapsular space. Otolaryngology-Head and Neck Surgery 88: 236–239.CrossRefGoogle Scholar
Glasscock, M. F. III, Shambaugh, G. E. Jr (1990) Surgery of the Ear, 4th Edition. W. B. Saunders, Philadelphia, pp 249–292.Google Scholar
Gower, D., McQuirt, W. F. (1983) Intracranial complications of acute and chronic infectious ear disease: a problem still with us. Laryngoscope 93: 1028–1033.CrossRefGoogle ScholarPubMed
Goycoolea, M. V., Jung, T. K. (1991) Complications of suppurative otitis media. In Otolaryngology. 3rd Edition. (Paparella, M. M., Shumrick, D. A., Gluckman, J. L., Meyerhaff, W. L., eds.), W. B. Saunders, Philadelphia, pp 1381–1404.Google Scholar
Jahn, A. J., Snell, G. E. (1980) Otogenic intracranial complication. Journal of Otolaryngology 9: 184–192.Google Scholar
Jeanes, A. (1962) Otogenic intracranial suppuration. Journal of Laryngology 76: 388–402.CrossRefGoogle ScholarPubMed
Leelamanit, V., Kalnouwakul, S. (1989) Bacteriology in chronic otitis media. Otolaryngology-Head and Neck Surgery (Thai) 4: 31–40.Google Scholar
Ludman, H. (1987) Complications of suppiirative otitis media. In Scott-Brown's Otolaryngology. 5th Edition. (Kerr, A. G., Groves, J., eds.), Butterworths, London, pp 264–291.Google Scholar
May, M. (1986). The Facial Nerve, Thieme Inc., New York, pp 441–410.Google Scholar
Mathews, T. J., Oliver, S. P. (1988) Bacteriology of mastoiditis. A five-year experience at Groote Schuur Hospital. Journal of Laryngology and Otology 102: 397–398.CrossRefGoogle ScholarPubMed
Myers, E. N., Ballantine, H. T. (1965) The management of otogenic brain abscesses. Laryngoscope 75: 273–288.CrossRefGoogle Scholar
Navacharoen, N., Navacharoen, W., Sorasuchart, A. (1984) Intracranial complications of otitis media: A five-year study. Journal of Infectious Disease and Antimicrobial Agents (Thai) 1: 57–62.Google Scholar
Newland, W. J. (1965) Otogenic brain abscess: A study of eighty cases. Journal of Laryngology 79: 120–130.CrossRefGoogle Scholar
Niphatakosolsuk, V., Visudhipan, P. (1974) Intracranial complications of middle ear infection. Journal of the Medical Association (Thailand) 12: 595–599.Google Scholar
Palva, T., Virtanen, H., Makineri, J. (1985) Acute and latent mastoiditis in children. Journal of Laryngology and Otology 99: 127–136.CrossRefGoogle ScholarPubMed
Pennybacker, J., Dixon, J. W., Fulton, C. J., Dawes, J. D. (1961) Discussion on intracranial complications of otogenic origin. Proceedings of the Royal Society of Medicine 54: 309–320.Google ScholarPubMed
Proctor, C. A. (1966) Intracranial complications of otitis origin. Laryngoscope 76: 288–308.Google ScholarPubMed
Samuel, J., Femandes, C. M. C., Steinberg, J. L. (1986) Intracranial otogenic complications: a persisting problem. Laryngoscope 96: 272–278.CrossRefGoogle ScholarPubMed
Savic, D. L. J., Djeric, D. R. (1989) Facial paralysis in chronic suppurative otitis media. Clinical Otolaryngology 14: 515–517.CrossRefGoogle ScholarPubMed
Siriyanon, C., NaNakorn, A., Prasansuk, S. (1984) Otitis media at Siriraj Hospital (10 years study). Reported at Annual Conference of the Otolaryngological Society of Thailand, at Pumipol Hospital,January 22.Google Scholar
Spires, J. R., Smith, R. J. H., Catlin, F. I. (1985) Brain abscess in the young. Otolaryngology-Head and Neck Surgery 93: 486–494.CrossRefGoogle ScholarPubMed
Stuart, E. A., O'Brien, F. H., McNally, W. J. (1955) Some observations on brain abscesses. Archives of Otolaryngology 61: 212–217.CrossRefGoogle Scholar