Clinicopathological Profile and Outcome of Patients with Intracranical Complication Secondary to Otitis Media: 4 Year Retrospective Analysis
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 6
Abstract
Abstract: Chronic suppurative otitis media (csom) is, defined as a chronic inflammation of the middle ear and mastoid cavity. India falls in category of highest prevalence of CSOM requiring urgent attention. The reported overall extra- and intracranial complication rate in CSOM varies from 0.7% to 3.2%; extracranial complications alone from 0.5% to 1.4% and intracranial complications from 0.3% to 2.0%. Present study is undertaken to study demographic, clinical profile and treatment outcome of patients of otitis media associated with intracranial complications (ICC). This retrospective observational study was carried out in department of ENT, DVVPF's medical college & Hospital from May 2014 till April 2018. Clinical profile and outcome of treatment were analysed in patients of otitis media with associated intracranial complications. During study period 24 patients of otitis media with intracranial complication were included in study. The mean age of presentation of these patients with icc in present study is about 22 years. Extradural abscess was the most common ICC (n=9, 31%) followed by brain abscess in 6 patients (20.7%). 9 (31%) patients had meningitis with or without associated intracranial abscess. We saw 3 (10.4%) patients with lateral sinus thrombosis. The mean duration of hospital stay in this patient were 51 days. Satisfactory recovery was seen in most of the patients (82%) with no neurological sequele. 3 patients developed deafness. Neurological deficit was more common in patients with cerabral abscess (p< 0.05). Otitis media is disease of childhood, if not treated adequately can lead to serious complication in early adulthood causing permanent deafness & neurological deficit. Patients with intracranial complications have longer hospital stay. A multidisciplinary approach is required to maximize recovery once complication occurs.
Authors and Affiliations
Devdatt P. Kotnis
Keywords
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