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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
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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

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