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In Vivo Morphometric Analysis of Human Cranial Nerves Using Magnetic Resonance Imaging in Menière's Disease Ears and Normal Hearing Ears
10:27

In Vivo Morphometric Analysis of Human Cranial Nerves Using Magnetic Resonance Imaging in Menière's Disease Ears and Normal Hearing Ears

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Inner ear and facial nerve complications of acute otitis media, including vertigo

Dennis J Kitsko1, Joseph E Dohar

  • 1Division of Pediatric Otolaryngology, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, 3705 Fifth Avenue, Pittsburgh, PA 15213, USA. dennis.kitsko@chp.edu

Current Allergy and Asthma Reports
|November 8, 2007
PubMed

Insights

Acute otitis media can lead to serious intratemporal complications like facial nerve paralysis and labyrinthitis. This review focuses on evidence-based diagnosis and management of these challenging conditions in children.

Area of Science:

  • Otolaryngology
  • Pediatric Medicine
  • Infectious Diseases

Background:

  • Acute otitis media (AOM) is a frequent pediatric diagnosis in the U.S.
  • While less common in the antibiotic era, intratemporal complications of AOM persist as clinical challenges.
  • These complications significantly increase patient morbidity.

Purpose of the Study:

  • To review the epidemiology, pathology, diagnosis, and treatment of two key intratemporal complications of AOM: facial nerve paralysis/paresis and labyrinthitis.
  • To provide an evidence-based approach to the diagnosis and management of these conditions.
  • To briefly discuss future treatment directions and open questions in AOM management.

Main Methods:

  • Literature review focusing on evidence-based medicine.
  • Synthesis of epidemiological data.
  • Analysis of diagnostic criteria and treatment options for facial nerve paralysis and labyrinthitis secondary to AOM.

Main Results:

  • Facial nerve paralysis/paresis and labyrinthitis are significant intratemporal complications of AOM.
  • An evidence-based approach is crucial for accurate diagnosis and effective management.
  • Current treatment strategies aim to minimize associated morbidity.

Conclusions:

  • Prompt and accurate diagnosis of intratemporal complications of AOM is essential.
  • Evidence-based management strategies are critical for reducing morbidity.
  • Further research is needed to address ongoing questions in AOM treatment and complication management.

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