Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-26T03:42:27.606Z Has data issue: false hasContentIssue false
  • English
  • Français

Otogenic intracranial complications: a 10-year retrospective review in KwaZulu-Natal, South Africa

Published online by Cambridge University Press:  22 January 2020

Z B Khuzwayo  and
B Enicker
Z B Khuzwayo*
Affiliation:
Department of Ear, Nose and Throat Surgery, Inkosi Albert Luthuli Central Hospital, Durban, South Africa Department of Head and Neck Surgery, Inkosi Albert Luthuli Central Hospital, Durban, South Africa
B Enicker
Affiliation:
Department of Neurosurgery, Inkosi Albert Luthuli Central Hospital, Durban, South Africa
*
Author for correspondence: Dr Z B Khuzwayo, Department of Otorhinolaryngology, Head and Neck Surgery, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Private Bag x07, Congella, Durban4004, South Africa E-mail: [email protected] Fax: +27 866 12 6633
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

To analyse the data for patients with otogenic intracranial complications during the study period and draw a comparison with internationally published literature.

Method

A retrospective, observational study was conducted, covering a 10-year period between 1 January 2002 and 31 December 2012.

Results

The study comprised 108 patients (66 males (61.1 per cent) and 42 females (38.9 per cent)), of which 75 per cent were aged less than 20 years. Post-auricular swelling, otorrhoea and a decreased level of consciousness were the most frequently reported symptoms in patients with otogenic intracranial complications. Patients with human immunodeficiency virus did not show any different patterns in terms of presentation and outcome.

Conclusion

A triad of post-auricular swelling, otorrhoea and a decreased level of consciousness should make the clinician more heedful of otogenic intracranial complications. Patients with human immunodeficiency virus and human immunodeficiency virus negative patients were equally affected and had similar presentations. Early surgical management of patients was associated with shorter hospital stays and better outcomes.

Keywords

MastoiditisThrombosis
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 1 , January 2020 , pp. 3 - 7
Copyright
Copyright © JLO (1984) Limited, 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr Z B Khuzwayo takes responsibility for the integrity of the content of the paper

References

Morwani, KP, Jayashankar, N. Single stage, transmastoid approach for otogenic intracranial abscess. J Laryngol Otol 2009;123:1216–2010.1017/S0022215109990533CrossRefGoogle ScholarPubMed
Friedberg, J, Gordon, D. Acute otitis media: the evolution of surgical management. J Otolaryngol 1998;27:2–8Google ScholarPubMed
Berman, S. Otitis media in developing countries. Pediatrics 1995;96:126–31Google ScholarPubMed
Samuel, J, Fernandes, CM, Steinberg, JL. Intracranial otogenic complications: a persisting problem. Laryngoscope 1986;96:272–810.1288/00005537-198603000-00007CrossRefGoogle ScholarPubMed
Antonelli, PJ, Dhanani, N, Giannoni, CM, Kubilis, PS. Impact of resistant pneumococcus on rates of acute mastoiditis. Otolaryngol Head Neck Surg 1999;121:190–410.1016/S0194-5998(99)70170-1CrossRefGoogle ScholarPubMed
Grimwood, K, Collignon, PJ, Currie, BJ, Ferson, MJ, Gilbert, GL, Hogg, GG et al. Antibiotic management of pneumococcal infections in an era of increased resistance. J Paediatr Child Health 1997;33:287–9510.1111/j.1440-1754.1997.tb01602.xCrossRefGoogle Scholar
Vera-Cruz, P, Farinha, RR, Calado, V. Acute mastoiditis in children – our experience. Int J Pediatr Otorhinolaryngol 1999;50:113–1710.1016/S0165-5876(99)00222-0CrossRefGoogle ScholarPubMed
Barry, B, Delattre, J, Vie, F, Bedos, J, Gehanno, P. Otogenic intracranial infections in adults. Laryngoscope 1999;109:483–710.1097/00005537-199903000-00026CrossRefGoogle ScholarPubMed
Dallari, S, Zaccarelli, SC, Sintini, M, Gatti, G, Balli, R. Acute mastoiditis with complications: a report of two cases. Acta Otorhinolaryngol Belg 1997;51:113–18Google ScholarPubMed
Dhooge, IJ, Albers, FW, Van Cauwenberge, PB. Intratemporal and intracranial complications of acute suppurative otitis media in children: renewed interest. Int J Pediatr Otorhinolaryngol 1999;49:S109–1410.1016/S0165-5876(99)00144-5CrossRefGoogle ScholarPubMed
Vikram, BK, Khaja, N, Udayashankar, SG, Venkatesha, BK, Manjunath, D. Clinico-epidemiological study of complicated and uncomplicated chronic suppurative otitis media. J Laryngol Otol 2008;122:442–610.1017/S0022215107000278CrossRefGoogle ScholarPubMed
Samuel, J, Fernandes, CM, Steinberg, JL. Intracranial otogenic complications: a persisting problem. Laryngoscope 1986;96:272–810.1288/00005537-198603000-00007CrossRefGoogle ScholarPubMed
Singh, B, Maharaj, TJ. Radical mastoidectomy: its place in otitic intracranial complications. J Laryngol Otol 1993;107:1113–1810.1017/S0022215100125435CrossRefGoogle ScholarPubMed
Weber, R, Pinheiro Neto, CD, Miziara, ID, Araujo Filho, BC. HAART impact on prevalence of chronic otitis media in Brazilian HIV-infected children. Braz J Otolaryngol 2006;72:509–14Google ScholarPubMed
Williams, MA. Head and neck findings in pediatric acquired immune deficiency syndrome. Laryngoscope 1987;97:713–1610.1288/00005537-198706000-00013CrossRefGoogle ScholarPubMed
Ludman, H. Complications of suppurative otitis media. In: Kerr, AC, Booth, JB, eds. Scott-Brown's Otolaryngology, 5th edn. London: Butterworth, 1987;264–91Google Scholar
Nissen, AJ, Bui, H. Complications of chronic otitis media. Ear Nose Throat J 1996;75:284–9210.1177/014556139607500507CrossRefGoogle ScholarPubMed
Glasscock, ME 3rd, Shambaugh, GE Jr, eds. Surgery of the Ear. Philadelphia: WB Saunders, 1990Google Scholar
Khuzwayo, ZB, Naidu, TK. Head and neck tuberculosis in KwaZulu-Natal, South Africa. J Laryngol Otol 2014;128:86–9010.1017/S0022215113003435CrossRefGoogle ScholarPubMed