Dolores BARDHYLI, Xhevair HOXHALLARI, Brikena QIRJAZI

Multiple complications due to subacute suppurative otitis media

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.

Subakut süpüratif otitis media nedeniyle görülen çoklu komplikasyon

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.

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1. Wetmore RF. Complications of otitis media. Pediatr Ann 2000;29:637-46.
2. Tschiassny K. Is facial palsy, when complicating cases of acute otitis media, indicative for immediate mastoid operation? Cincinnati Med 1944;25:262-6.
3. Miehlke A. Surgical classification of the paralysis of the facial nerve, with guidelines for differential diagnosis and therapy. In: Miehlke A, ed. Surgery of the Facial Nerve. Munich: Urban &Schwarzenberg 197;52-8.
4. Antoli-Candela E, Stewart TJ. The pathophysiology of otologic facial paralysis. Otolaryngol Clin North Am 1974;7:309-30.
5. Ludman H. Complications of suppurative otitis media. In: Kerr AG, ed. Scott-Brown’s Otolaryngology, 5th edition, London: Butterworths 1987;264-91.
6. Kappaport JM, Bnatt SM, Burkard KF, Merchant SN, Nadol JB Jr. Prevention of hearing loss in experimental meningitis by administration of dexamethasone and ketorolac. J Infect Dis 1999;179:264-8. [CrossRef]
7. Luca O, Radaelli de Zinis, Paolo Gamba, Christiano Balzanelli. Acute Otitis media ad facial nerve paralyses in adults. Otology and neurotology 2003;24:113-7.
8. Adour KK, Hetzler DG. Current medical treatment of facial palsy. Am J Otol 1984;5:499-502.
9. Lin YS, Lin LC, Lee FP, Lee KJ. The prevalence of chronic otitis media and its complications rates in teenagers and adults. Otolaryngol Head & Neck Surg 2009;140:165-70. [CrossRef]
10. Vergison A. Microbiology of otitis media: A moving target. Vaccine 2008;26:G5-10. [CrossRef]