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Risks of developing an otogenic intracranial abscess

Published online by Cambridge University Press:  29 June 2007

D. A. Nunez  and
G. G. Browning
D. A. Nunez
Affiliation:
Glasgow
G. G. Browning*
Affiliation:
Glasgow
*
G. G. Browning Department of OtolaryngologyUniversity of GlasgowRoyal InfirmaryGlasgowG4 0SF
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Abstract

One-and-a-half per cent of adults have active chronic otitis media and its management to prevent complications is a considerable workload. The risks of developing these complications is relatively unknown but because of its mortality, intracranial abscess is the most relevant.

A 10-year review of all otogenic intracranial abscesses in Scotland was carried out. A 15 per cent allowance was made for missing records. The annual risk in an adult with active chronic otitis media of developing an abscess is about one in 10,000 but its development is three times more likely in males. This risk might appear low but the lifetime expectancy of an individual aged 30 years with active chronic otitis media developing an abscess is one in 200. However, as yet, there is no evidence that surgery reduces this risk. Unfortunately, because of the duration of follow-up needed and the size of the sample required, scientific evidence would be difficult to obtain. However, 5 per cent of abscesses currently occur in the immediate post-operative period following mastoid surgery.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 6 , June 1990 , pp. 468 - 472
Copyright
Copyright © JLO (1984) Limited 1990

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References

Van Baarle, P. W. L., Huygen, P. L. M., Brinkman, W. F. B. (1983) Findings in surgery for chronic otitis media. A retrospective data-analysis of 2,225 cases following for two years. Clinical Otolaryngology, 8: 151–158.Google Scholar
Bradley, P. J., Shaw, M. D. M. (1983) Three decades of brain abscesses in Merseyside. Journal of the Royal College of Surgeons of Edinburgh, 28: 223–228.Google Scholar
Browning, G. G. (1984) The unsafeness of ‘safe’ ears. Journal of Laryngology and Otology, 98: 23–36.Google Scholar
Gatehouse, S. (1988) Otological aspects of the British MRC National Study of Hearing. Proceedings of the Eighth International Congress in Audiology.Jerusalem.Google Scholar
Gower, D., McGuirt, W. F. (1983) Intracranial complications of acute and chronic infectious ear disease: a problem still with us. Laryngoscope, 93: 1028–1033.Google Scholar
Newlands, W. J. (1965) Otogenic brain abscess: a study of 80 cases. Journal of Laryngology and Otology, 79: 120–130.CrossRefGoogle Scholar
Samuel, J., Fernandes, C. M. C., Steinberg, J. L. (1986) Intracranial otogenic complications—a persisting problem. Laryngoscope, 96: 272–278.CrossRefGoogle ScholarPubMed
Small, M., Dale, B. A. B. (1984) Intracranial suppuration 1968–1982. A 15 year review. Clinical Otolaryngology, 9: 315–321.Google Scholar
Smyth, G. D. L. (1980) In Clinical Ear Disease. pp. 140–141. Churchill Livingstone, London.Google Scholar
Snell, G. E. D. (1978) Sinogenic and otogenic brain abscesses. A review of 63 cases occuring at Toronto General Hospital 1956–1975. Journal of Otolaryngology, 7: 289–296.Google Scholar