Zeba Ahmed, Tarique Zahid Khan, Danish-ur Rahim.
Otogenic complications of otitis media: experience at tertiary care hospital.
Pak J Surg Jan ;32(1):49-53.

Objective: To determine the prevalence rates of intracranial and extracranial otogenic complications of otitis media. Materials & methods: In this retrospective study conducted between January 2012 and December 2014, 41 cases of extracranial and intracranial complications of chronic suppurative otitis media (CSOM) were included. Th e analyses included clinical and surgical fi ndings and overall management strategy of the patients who had CSOM complications. Results: Mastoid abscess with or without sinus was the most common extracranial complication, occurring in 20 (48.7%) patients. Th is was followed by otitis externa in 17 (41.46%), mastoiditis in 15 (36.5%), facial palsy in 5(16.66%) and Bezold’s abscess in 2 (2.1%). Brain abscess was the most common intracranial complication, being found in 6 (14.63%) cases, followed by meningitis in 2 (4.87%) and sigmoid sinus thrombosis in 2 (4.87%) cases. Surgery in addition to antibiotic therapy was the basis of the treatment for these conditions. Conclusion: Although the complications rarely cause mortality, early diagnosis and prompt surgical treatment are important in order to reduce the morbidity

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