Research Article
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Analysis of Complications Related to Chronic Supurative Otitis Media in a Tertiary Referall Center During a 5-Year Period

Year 2024, Volume: 8 Issue: 1, 1 - 7, 28.04.2024
https://doi.org/10.29058/mjwbs.1218309

Abstract

Aim: Chronic supurative otitis media (CSOM), which may lead to severe complications, is a common
disease and should be treated meticulously. CSOM related complications subdivided into two groups as
extracranial (EC) and intracranial (IC). In this study, patients who were diagnosed with CSOM related
complications are analyzed in our third referral hospital, during 5-year periods.
Material and Methods: In this study, we included the patients diagnosed with CSOM and admitted our hospital between June 2017 and
June 2022. There were 1630 patients, and were analyzed the diagnosed as CSOM in our center.
Results: 60 patients (3,6%) had complications related to CSOM and all patients underwent tympanomastoidectomy for treatment.
Extracranial (EC), Intracranial (IC) and Combined complication rates were 53 (88.3%), 2 (3.4%) and 5 (8.3%), respectively. Inaddition, 22
(36.7%) patients had more than one extracranial complicaton, and 1 (1.7%) patient had more than one intracranial complication. Patients
with extracranial complications were treated by canal wall down tympanomastoidectomy (CWDTM). Four patients who had facial paralysis
as a complication were underwent CWDTM and facial nerve decompression. No mortality were observed due to CSOM complications.
Conclusion: Patients who were underwent facial nerve decompression had improved their facial nerve fonctions during postoperative 6
months period. All patients with CSOM should be assessed for complications and they should be diagnosed and treated urgently.

References

  • 1. Dubey SP, Larawin V. Complications of chronic suppurative otitis media and their management. Laryngoscope 2007;117 (2):264-267.
  • 2. Kangsanarak J, Fooanant S, Ruckphaopunt K, Navacharoen N, Teotrakul S. Extracranial and intracranial complications of suppurative otitis media. Report of 102 cases. J Laryngol Otol 1993;107(11):999-1004.
  • 3. Mostafa BE, El Fiky LM, El Sharnouby MM. Complications of suppurative otitis media: still a problem in the 21st century. ORL J Otorhinolaryngol Relat Spec 2009;71(2):87-92.
  • 4. Dubey SP, Larawin V, Molumi CP. Intracranial spread of chronic middle ear suppuration. Am J Otolaryngol 2010;31(2):73-77.
  • 5. Osma U, Cureoglu S, Hosoglu S. The complications of chronic otitis media: report of 93 cases. J Laryngol Otol 2000;114(2):97- 100.
  • 6. Sennaroglu L, Sozeri B. Otogenic brain abscess: review of 41 cases. Otolaryngol Head Neck Surg 2000;123 (6):751-755.
  • 7. Seven H, Coskun BU, Calis AB, Sayin I, Turgut S. Intracranial abscesses associated with chronic suppurative otitis media. Eur Arch Otorhinolaryngol 2005;262(10):847-851.
  • 8. Dornhoffer JL, Milewski C. Management of the open labyrinth. Otolaryngol Head Neck Surg 1995;112:410-414.
  • 9. Goycoolea MV, Jung TK. Complications of suppurative otitis media. In: Paparella MM, ShumrickDA, Gluckman JL, Meyerhaff WL, eds. Otolaryngology, 3rd edn. Philadelphia: WB Saunders, 1991:1381-1404.
  • 10. Miyamoto RT, Worth RM. Otogenic cerebella rabscess. Ann Otol Rhinol Laryngol 1986;95(6 Pt 1):647-649. 11. Pfaltz CR. Complications of otitis media. ORL J Otorhinolaryngol Relat Spec 1982;44(6):301-309.
  • 12. Samuel J, Fernandes CM, Steinberg JL. Intracranial otogenic complications: a persisting problem. Laryngoscope 1986;96 (3):272-278.
  • 13. Munz M, Farmer JP, Auger L, O’Gorman AM, Schloss MD. Otitis media and CNS complications. J Otolaryngol 1992;21 (3):224-226.
  • 14. Yorgancilar E, Akkus Z, Gun R, Yildirim M, Bakir S, Kinis V, Meric F, Topcu I. Temporal bone erosion in patients with chronic suppurative otitis media. B-ENT 2013;9 (1):17-22.
  • 15. Samuel J, Fernandes CM. Lateral sinus thrombosis (a review of 45 cases). J Laryngol Otol 1987;101(12):1227-1229.
  • 16. Rupa V, Raman R. Chronic suppurative otitis media: complicated versus uncomplicated disease. Acta Otolaryngol 1991;111 (3):530-535.
  • 17. Altuntas A, Unal A, Aslan A, Ozcan M, Kurkcuoglu S, Nalca Y. Facial nerve paralysis in chronic suppurative otitis media: Ankara Numune Hospital experience. Auris Nasus Larynx 1998;25(2):169-72.
  • 18. Vartiainen E. What is the best method of treatment for labyrinthine fistulae caused by cholesteatoma? Clin Otolaryngol Allied Sci 1992;17:258-260.
  • 19. Copeland BJ, Buchman CA. Management of labyrinthine fistulae in chronic ear surgery. Am J Otolaryngol 2003;24:51-60.
  • 20. Sheehy JL, Brackmann DE. Cholesteatoma surgery-management of the labyrinthine fistula—a report of 97 cases. Laryngoscope 1979;89:78-87.
  • 21. Parisier SC, Edelstein DR, Han JC, Weiss MH. Management of labyrinthine fistulas caused by cholesteatoma. Otolaryngol Head Neck Surg 1991;104 (1):110-115.
  • 22. Ostri B. Surgical management of labyrinthine fisula in chronic otitis media with cholsteatoma by a one stage closed technique. ORL J Otorhinolaryngol Relat Spec 1989;51:295-299.
  • 23. Ritter FN. Chronic supportive otitis media and the pathologic fistula. Laryngoscope 1970;80:1025-1035.
  • 24. Palva T, Ramsay H. Treatment of labyrinthine fistula. Arch Otolaryngol Head Neck Surg 1989;115:804-806.
  • 25. Soda-Merhy A, Betancourt-Suarez MA. Surgical treatment of labyrinthine fistula caused by cholesteatoma. Otolaryngol Head Neck Surg 2000;122:739-742.
  • 26. Gacek RR. The surgical management of labyrinthine fistulae in chronic otitis media with cholesteatoma. Ann Otol 1974;83:1- 19.
  • 27. Sanna M, Zini C, Gamoletti R, Taibah AK, Russo A, Scandellari R. Closed versus open technique in the management of labyrinthine fistulae. Am J Otol 1988;9(6):470-475.
  • 28. Kim CS, Choi BY. Clinical presentation and management of labyrinthine fistula in chronic otitis media with cholesteatoma. Korean J Otolaryngol 2002;45:1039-1045.
  • 29. Kobayashi T, Sakurai T, Okitsu T, Yuasa R, Kawase T, Kusakari J, Takasaka T. Labyrinthine fistulae caused by cholesteatoma. Improved bone conduction by treatment. Am J Otol 1989;10(1):5-10.
  • 30. Ooi EH, Hilton M, Hunter G. Management of lateral sinus thrombosis: update and literature review. J Laryngol Otol 2003;117 (12):932-939.
  • 31. Kaplan DM, Kraus M, Puterman M, Niv A, Leiberman A, Fliss DM. Otogenic lateral sinus thrombosis in children. Int J Pediatr Otorhinolaryngol 1999;49 (3):177-183.
  • 32. Viswanatha B, Naseeruddin K. Lateral sinus thrombosis in otology: a review. Mediterr J Hematol Infect Dis 2010;2 (3):e2010027.

Üçüncü Basamak Bir Sevk Merkezinde 5 Yıllık Bir Süre Boyunca Görülen Kronik Süpüratif Otitis Media Komplikasyonlarının Analizi

Year 2024, Volume: 8 Issue: 1, 1 - 7, 28.04.2024
https://doi.org/10.29058/mjwbs.1218309

Abstract

Amaç: Kronik süpüratif otitis media (KSOM), ciddi komplikasyonlar gelişebileceğinden, dikkatle
tedavi edilmesi gereken çok yaygın bir hastalıktır. KSOM bağlı komplikasyonlar ekstrakraniyal (EK)
veya intrakraniyal (İK) olarak sınıflandırılabilir. Bu çalışmada, üçüncü basamak referans merkezimize
başvuran ve tedavi edilen KSOM hastalarında otojenik ekstrakraniyal ve intrakraniyal komplikasyonlarla
ilgili son 5 yıldaki deneyimlerimiz gözden geçirildi.
Gereç ve Yöntemler: Çalışmaya, Haziran 2017-Haziran 2022 tarihleri arasında üçüncü basamak
referans merkezimize başvuran, KSOM tanısı konulan ve tedavi edilen hastaların klinik kayıtları dahil
edildi. Haziran 2017- Haziran 2022 tarihleri arasında, merkezimize başvuran KSOM teşgisi almış 1630
hastanın verileri analiz edildi.
Bulgular: 1630 hastanın kayıtlarından, komplikasyonlu 60 hasta (% 3,6) tespit edildi ve tüm hastalara
timpanomastoidektomi yapıldı. EK, İK ve kombine EK ve İK komplikasyonu sırasıyla 53 (%88,3), 2
(%3,4), 5 (%8,3) hastada meydana geldi. Ek olarak, 22 (%36,7) hastada birden fazla EK komplikasyon,
1 (%1,7) hastada birden fazla İK komplikasyonu meydana geldi. EK komplikasyonları olan tüm hastalar
kanal wall down timpanomastoidektomi (CWDTM) ile tedavi edildi. Fasiyal sinir paralizisi (FSP)
olan 4 hastanın tümüne CWDTM ve fasiyal sinir dekompresyonu uygulandı. KSOM komplikasyonları
nedeniyle mortalite görülmedi. Fasiyal paralizi komplikasyonu nedeniyle fasiyal dekompresyon yapılan
hastalarda postoperatif 6 ay içerisinde fasiyal fonksiyonların tüm hastalarda normale döndüğü gözlendi.
Sonuç: Hastalar KSOM ilişkili oluşabilecek komplikasyonlar açısından özellikle değerlendirilmeli ve
erken dönemde tanı konularak tedavi edilmelidir.

References

  • 1. Dubey SP, Larawin V. Complications of chronic suppurative otitis media and their management. Laryngoscope 2007;117 (2):264-267.
  • 2. Kangsanarak J, Fooanant S, Ruckphaopunt K, Navacharoen N, Teotrakul S. Extracranial and intracranial complications of suppurative otitis media. Report of 102 cases. J Laryngol Otol 1993;107(11):999-1004.
  • 3. Mostafa BE, El Fiky LM, El Sharnouby MM. Complications of suppurative otitis media: still a problem in the 21st century. ORL J Otorhinolaryngol Relat Spec 2009;71(2):87-92.
  • 4. Dubey SP, Larawin V, Molumi CP. Intracranial spread of chronic middle ear suppuration. Am J Otolaryngol 2010;31(2):73-77.
  • 5. Osma U, Cureoglu S, Hosoglu S. The complications of chronic otitis media: report of 93 cases. J Laryngol Otol 2000;114(2):97- 100.
  • 6. Sennaroglu L, Sozeri B. Otogenic brain abscess: review of 41 cases. Otolaryngol Head Neck Surg 2000;123 (6):751-755.
  • 7. Seven H, Coskun BU, Calis AB, Sayin I, Turgut S. Intracranial abscesses associated with chronic suppurative otitis media. Eur Arch Otorhinolaryngol 2005;262(10):847-851.
  • 8. Dornhoffer JL, Milewski C. Management of the open labyrinth. Otolaryngol Head Neck Surg 1995;112:410-414.
  • 9. Goycoolea MV, Jung TK. Complications of suppurative otitis media. In: Paparella MM, ShumrickDA, Gluckman JL, Meyerhaff WL, eds. Otolaryngology, 3rd edn. Philadelphia: WB Saunders, 1991:1381-1404.
  • 10. Miyamoto RT, Worth RM. Otogenic cerebella rabscess. Ann Otol Rhinol Laryngol 1986;95(6 Pt 1):647-649. 11. Pfaltz CR. Complications of otitis media. ORL J Otorhinolaryngol Relat Spec 1982;44(6):301-309.
  • 12. Samuel J, Fernandes CM, Steinberg JL. Intracranial otogenic complications: a persisting problem. Laryngoscope 1986;96 (3):272-278.
  • 13. Munz M, Farmer JP, Auger L, O’Gorman AM, Schloss MD. Otitis media and CNS complications. J Otolaryngol 1992;21 (3):224-226.
  • 14. Yorgancilar E, Akkus Z, Gun R, Yildirim M, Bakir S, Kinis V, Meric F, Topcu I. Temporal bone erosion in patients with chronic suppurative otitis media. B-ENT 2013;9 (1):17-22.
  • 15. Samuel J, Fernandes CM. Lateral sinus thrombosis (a review of 45 cases). J Laryngol Otol 1987;101(12):1227-1229.
  • 16. Rupa V, Raman R. Chronic suppurative otitis media: complicated versus uncomplicated disease. Acta Otolaryngol 1991;111 (3):530-535.
  • 17. Altuntas A, Unal A, Aslan A, Ozcan M, Kurkcuoglu S, Nalca Y. Facial nerve paralysis in chronic suppurative otitis media: Ankara Numune Hospital experience. Auris Nasus Larynx 1998;25(2):169-72.
  • 18. Vartiainen E. What is the best method of treatment for labyrinthine fistulae caused by cholesteatoma? Clin Otolaryngol Allied Sci 1992;17:258-260.
  • 19. Copeland BJ, Buchman CA. Management of labyrinthine fistulae in chronic ear surgery. Am J Otolaryngol 2003;24:51-60.
  • 20. Sheehy JL, Brackmann DE. Cholesteatoma surgery-management of the labyrinthine fistula—a report of 97 cases. Laryngoscope 1979;89:78-87.
  • 21. Parisier SC, Edelstein DR, Han JC, Weiss MH. Management of labyrinthine fistulas caused by cholesteatoma. Otolaryngol Head Neck Surg 1991;104 (1):110-115.
  • 22. Ostri B. Surgical management of labyrinthine fisula in chronic otitis media with cholsteatoma by a one stage closed technique. ORL J Otorhinolaryngol Relat Spec 1989;51:295-299.
  • 23. Ritter FN. Chronic supportive otitis media and the pathologic fistula. Laryngoscope 1970;80:1025-1035.
  • 24. Palva T, Ramsay H. Treatment of labyrinthine fistula. Arch Otolaryngol Head Neck Surg 1989;115:804-806.
  • 25. Soda-Merhy A, Betancourt-Suarez MA. Surgical treatment of labyrinthine fistula caused by cholesteatoma. Otolaryngol Head Neck Surg 2000;122:739-742.
  • 26. Gacek RR. The surgical management of labyrinthine fistulae in chronic otitis media with cholesteatoma. Ann Otol 1974;83:1- 19.
  • 27. Sanna M, Zini C, Gamoletti R, Taibah AK, Russo A, Scandellari R. Closed versus open technique in the management of labyrinthine fistulae. Am J Otol 1988;9(6):470-475.
  • 28. Kim CS, Choi BY. Clinical presentation and management of labyrinthine fistula in chronic otitis media with cholesteatoma. Korean J Otolaryngol 2002;45:1039-1045.
  • 29. Kobayashi T, Sakurai T, Okitsu T, Yuasa R, Kawase T, Kusakari J, Takasaka T. Labyrinthine fistulae caused by cholesteatoma. Improved bone conduction by treatment. Am J Otol 1989;10(1):5-10.
  • 30. Ooi EH, Hilton M, Hunter G. Management of lateral sinus thrombosis: update and literature review. J Laryngol Otol 2003;117 (12):932-939.
  • 31. Kaplan DM, Kraus M, Puterman M, Niv A, Leiberman A, Fliss DM. Otogenic lateral sinus thrombosis in children. Int J Pediatr Otorhinolaryngol 1999;49 (3):177-183.
  • 32. Viswanatha B, Naseeruddin K. Lateral sinus thrombosis in otology: a review. Mediterr J Hematol Infect Dis 2010;2 (3):e2010027.
There are 31 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Duygu Erdem 0000-0002-7973-2719

Deniz Baklacı 0000-0001-8449-4965

Ergin Bilgin 0000-0001-7191-6209

Mustafa Dalgıç 0000-0003-1886-8994

Gökhan Furkan Kılıç 0000-0003-3975-3547

Publication Date April 28, 2024
Submission Date January 22, 2024
Acceptance Date April 13, 2024
Published in Issue Year 2024 Volume: 8 Issue: 1

Cite

Vancouver Erdem D, Baklacı D, Bilgin E, Dalgıç M, Kılıç GF. Üçüncü Basamak Bir Sevk Merkezinde 5 Yıllık Bir Süre Boyunca Görülen Kronik Süpüratif Otitis Media Komplikasyonlarının Analizi. Med J West Black Sea. 2024;8(1):1-7.

Medical Journal of Western Black Sea is a scientific publication of Zonguldak Bulent Ecevit University Faculty of Medicine.

This is a refereed journal, which aims at achieving free knowledge to the national and international organizations and individuals related to medical sciences in publishedand electronic forms.

This journal is published three annually in April, August and December.
The publication language of the journal is Turkish and English.