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[Incidence of complications of otitis media]
M E Zernotti1, C Casarotto, M L Tosello
1Servicio de Otorrinolaringología, Sanatorio Allende, Córdoba, Argentina. mzernotti@intramed.net.ar
Objective:
Determine the incidence of otological and endocranial complications of acute otitis media, taking into account previous treatments and the development of complications.
Material And Methods:
Retrospective follow-up study between March 1996-2003 including 16 patients: 9 men, 7 women.
Results:
Nine patients (56.25%) had intracranial complications and seven otological ones. In the first group, 6 developed meningitis by Streptococcus pneumoniae, one sigmoid sinus thromboflebitis, one multiple abscesses, and one subdural empiema and encephalitis. Otological complications were six acute mastoiditis and the other one a facial paralysis. The child with thromboflebitis underwent mastoidectomy and closed meningeal comunication; 5 of the acute mastoiditis were operated on and the other received traditional treatment. The meningitis received medication. Two died, one because of a subdural empiema and the other due to meningitis.
Conclusion:
Despite the advances made by antibiotherapy and diagnosis, the complications of otitis media are still frequent. The pediatrician and otorhinolaryngologist should be on the alert for these as well as for Pneumococcus and its high resistance.
Insights
Complications from acute otitis media remain common, with a high incidence of intracranial and otological issues. Early detection and prompt treatment are crucial for managing these serious conditions.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Neurology
Context:
- Acute otitis media (AOM) is a common childhood infection.
- Complications of AOM can be severe and life-threatening.
- Previous treatments and diagnostic advancements have not eliminated AOM complications.
Purpose:
- To determine the incidence of otological and endocranial complications of acute otitis media.
- To analyze the impact of previous treatments on complication development.
- To highlight the persistent threat of AOM-related complications.
Summary:
- A retrospective study of 16 patients revealed a high incidence of AOM complications.
- Nine patients (56.25%) experienced intracranial complications, including meningitis, subdural empyema, and encephalitis.
- Seven patients had otological complications, such as acute mastoiditis and facial paralysis.
Impact:
- Despite advances in antibiotics and diagnostics, AOM complications are frequent.
- Pediatricians and otolaryngologists must remain vigilant for AOM complications.
- Increased awareness of Streptococcus pneumoniae and its resistance is vital for effective management.
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