Multiple Complications Due to Subacute Suppurative Otitis Media

Abstract

Subacute otitis media is a well-known pathology of ENT practice which is easily diagnosed and subsequently treated in the outpatient clinic. The rate of complications in acute otitis media is lower than in chronic otitis media. We present here the history of a young patient with subacute otitis media who developed both localized labyrinthitis and facial palsy requiring surgical treatment. We conclude that the treatment of subacute otitis media should be carefully monitored because complications may occur. Surgical treatment and pressure release can be efficient for the treatment of a peripheral facial palsy in the course of acute or subacute otitis media. Turkish Başlık: Subakut Süpüratif Otitis Media Nedeniyle Görülen Çoklu Komplikasyon Anahtar Kelimeler: Subakut otitis media, fasial paralizi, labirentit Subakut otitis media KBB uygulamasının iyi bilinen bir patolojisi olup poliklinikte kolayca teşhis edilmekte ve ardından tedavi edilmektedir. Akut otitis mediada komplikasyon oranı kronik otitis mediadakinden daha düşüktür. Biz burada cerrahi tedavi gerektiren lokalize labirentit ve fasial paralizi geliştiren subakut otitis medialı genç bir hastanın öyküsünü sunuyoruz. Subakut otitis media tedavisinin dikkatli şekilde takip edilmesi gerektiği sonucuna varıyoruz çünkü komplikasyonlar ortaya çıkabilmektedir. Akut veya subakut otitis media sürecinde gelişen periferik fasial paralizi tedavisinde cerrahi tedavi ve basıncın boşaltılması etkili olabilir.

Keywords

• Subacute otitis media, facial palsy, labyrinthitis

References

1. Vlessis AA, Khaki A, Grunkemeier GL, Li HH, Starr A. Risk, diag- nosis and management of prosthetic valve endocarditis: a review. J Heart Valve Disease 1997;6:443-65.
2. Arvay A, Lengyel M. Incidence and risk factors of prosthetic valve endocardits: Eur J Cardiothrorac Surg 1988;2:340-6.
3. Calderwood SB, Swinski LA, Karchmer AW, Waternaux CM, Buck- ley MJ. Prosthetic valve endocarditis. Analysis of factors affecting outcome of therapy. J Thorac Cardiovasc Surg 1986;92:776-83.
4. Mansur AJ, Dal Bo CM, Fukushima JT, Issa VS, Grinberg M, Pomerantzeff PM. Relapses recurences, valve replacements and mortality during the long term follow-up after infective endocar- ditis American Heart J 2001;141:78-86. [CrossRef]
5. Wolff M, Witchitz S, Chanstang C, Regnier B, Vachon F. Prosthetic valve endocarditis in the ICU. Prognostic factors of overall sur- vival in a series of 122 cases and consequences for treatment decision. Chest 1995;108:688-94. [CrossRef]
6. Mylonakis E, Calderwood SB. Infective endocarditis in adults. New Eng J med 2001;345:1318-30. [CrossRef]
7. Tellez I, Chrysant GS, Omer I, Dismukes WE. Citrobacter diversus endocarditis. Amer J Med Sci 2000;320:408-10. [CrossRef]
8. Clemente GC, Ruiz AJ, Vilert GE, and Garcia BF. Citrobacter freundii enddocarditis. An Med Interna 1999;16:363-4.

9. Tang R, Chen HH, Wang YL, Changchien CR, Chen JS, Hsu KC, et.al. JY. Risk factors for surgical site infection after elective resec- tion of the colon and rectum: a single-center prospective study of 2809 consecutive patients. Ann Surg 2001;234:181-9. [CrossRef]
10. Song F, GlennyAM. Antimicrobial prophylaxis in colorectal sur- gery: a systematic review of randomized controlled rials. BR J Surg 1998;85:1232-41. [CrossRef]
11. Fingehut A, Al-hadrani A. Mechanical and bacteriologic prepa- ration for colorectal surgery: Evolution and current recom- mendations. Associatinos of research in surgery. J Chir (paris) 1999;136:216-20.
12. Infection control during gastrointestinal endoscopy: guidelines for clinical application. From the ASGE. American Society for Gastrointestinal Endoscopy. Gastrointest Endo 1999;49:836-41. [CrossRef]
13. Norred CL, Zamudio S, Palmer SK. Use of complementary and alternative medicines by surgical patients. AANA J 2000;68:13-8.
14. Tan MP, Cheong DM. Life-threateing perineal gangrene from rectal perforation following colonic hydrotherapy: a case report. Ann Acad Med Singapure 1999;28:583-5.