Complications of Acute Otitis Media: A Single Center Experience

Year 2017, Volume: 8 Issue: 4, 120 - 123, 29.12.2017

Cüneyt Kucur , İsa Özbay , Muhammet Fatih Topuz Onur Erdoğan

https://doi.org/10.5799/jcei.382431

Abstract

Objective: Acute otitis media is the result of viral or bacterial
infections in the middle ear. Despite the frequent use of antibiotics for
different reasons, it can still be present with serious complications. Although
acute otitis media is most common between ages 3 months - 3 years, it can be
seen in adults and even it may result in serious complications too.

Patients and
Methods: Our study was
carried out by retrospectively screening patients who were admitted to
Dumlupınar University Evliya Çelebi Training and Research Hospital between
January 2013 and June 2015 for acute otitis media. During these years, hospital
data of patients who have referred to our hospital have been reviewed for
intracranial and intratemporal complications.

Results: A total of 2475 patients with acute otitis media were
included. Intracranial and intratemporal complications were observed in 16
patients. The most frequent complications were mastoiditis (in 4 patients),
subperiosteal abscess, facial nerve palsy and meningitis (each in three patients).
Acute labyrhintitis developed in two patients and petrositis in one.

Conclusion: Despite the current preventive and therapeutic
approaches, patients with acute otitis media can still present with
complications.

Keywords

Acute otitis media, complications, otitis media complications

References

• 1. Cummings C. Otolaringoloji Baş ve Boyun Cerrahisi Pediyatrik Otolaringoloji 4. Baskı Ankara: Güneş Kitap Evi; 2007:4445-6. 2. Liese JG, Silfverdal SA, Giaquinto C, et al. Incidence and linical presentation of acute otitis media in children aged<6 years in European medical practices. Epidemiol Infect. 2014;142(8):1778-88.
• 3. Bayazıt Y.A. Akut Otitis Media Komplikasyonları. Turkiye Klinikleri J E.N.T.-Special Topics 2011;4(4).
• 4. Atkinson H, Wallis S, Coatesworth AP. Acute otitis media. Postgrad Med. 2015;127:386-90.
• 5. Zanetti D, Nassif N. Indications for surgery in acute mastoiditis and their complications in children. Int J Pediatr Otorhinolaryngol 2006;70:1175- 82.
• 6. Cohen K, Uri N, Rennert H, Peled N, Green-berg E, Efrat M. Acute mastoiditis in children: is surgical treatment necessary? J LaryngolOtol 1999;113:1081-5.
• 7. Pang LH, Baraka te MS, Havas TE. Mastoiditis in a paediatric population: A review of 11 years experience in management. Int J Pediatr Otorhinolaryngol 2009;73:1520-4.
• 8. Gaio E, Marioni G, de Filippis C, Tregnaghi A, Caltran S, Staffieri A. Facial nerve paralysis secondary to acute otitis media in infants and children. J Paediatr Child Health 2004;40:483–6.
• 9. Elliott CA, Zalzal GH, Gottlieb WR. Acute otitis media and facial paralysis in children. Ann Otol Rhinol Laryngol 1996;105(1):58-62.
• 10. Maranhão AS, Godofredo VR, Penidonde O. Suppurative labyrinthitis associated with otitis media: 26 years' experience. Braz J Otorhinolaryngol. 2016;82:82-7.
• 11. Hassepass F, Schild C, Aschendorff A, Laszig R;et al. Clinical outcome after cochlear implantation in patients with unilateral hearing loss due to labyrinthitis ossificans. OtolNeurotol. 2013;34:1278-83.
• 12. Choi KY, Park SK. Petrositis with bilateral abducens nerve palsies complicated by acute otitis media. Clin Exp Otorhinolaryngol. 2014;7:59- 62.
• 13. Lahav J, Handzel O, Gertler R, Yehuda M, Halperin D. Postauricular need aspiration of subperiosteal abscess in acute mastoiditis. Ann Otol Rhinol Laryngol. 2005;114:323- 7.
• 14. Kwak MK, Chung JH, Lee SH, Park CW. A case of otogenic brain abscess causing loss of consciousness. Korean J Audiol. 2014;18:76-9.
• 15. Zanoletti E, Cazzador D, Faccioli C, Sari M, Bovo R, Martini A. Intracranial venous sinus thrombosis as a complication of otitis media in children: Critical review of diagnosis and management. Int J Pediatr Otorhinolaryngol. 2015;79:2398-403.
• 16. Wu JF, Jin Z, Yang JM, Liu YH, Duan ML. Extracranial and intracranial complications of otitis media: 22-year clinical experience and analysis. ActaOtolaryngol. 2012;132:261-5.
• 17. Viswanatha B. Otitichydrocephalus: a report of 2 cases. EarNoseThroat J. 2010;89:E34-7.
• 18. Ryan JT, Pena M, Zalzal GH, Preciado DA. Otogenic lateral sinus thrombosis in children: A review of 7 cases. Ear Nose Throat J. 2016 ;95:108-12.
• 19. Ciorba A, Berto A, Borgonzoni M, Grasso DL, Martini A. Pneumocephalus and meningitis as a complication of acute otitis media: case report. ActaOtorhinolaryngol Ital. 2007;27:87-9.
• 20. Oestreicher-Kedem Y, Ben-Sira L, Grissaru G, DeRowe A. Arterial brain infarction in complicated acute otitis media. Int J Pediatr Otorhinolaryngol. 2007;71:659-63.