Fazal I WAHİD, Adil KHAN, Iftikhar Ahmad KHAN

Süpüratif otitis media komplikasyonları: Gelişen bir ülke için zorluk

Amaç: Bu çalışmada kronik süpüratif otitis media KSOM komplikasyonlarının sıklığı ve yönetimi araştırıldı.Hastalar ve Yöntemler: Lady Reading Hastanesi Peşaver, Lisansüstü Tıp Enstitüsü, Kulak Burun ve Boğaz, Baş ve Boyun Cerrahisi Bölümünde yapılan bu tanımlayıcı kesitsel çalışmaya KSOM’lu 376 hastadan çalışma kriterlerini karşılayan 44 hasta 25 erkek, 19 kadın; ort. yaş 48.5±3.5 yıl; dağılım 21-76 yıl dahil edildi. Tanısı yeni konulmuş KSOM’u ve komplikasyonları olan tüm hastalar dahil edildi. Önce komplikasyonlar tedavi edildi. İntrakraniyal apseler beyin cerrahları tarafından boşaltıldı. Radikal ve modifiye radikal mastoidektomi uygulandı.Bulgular: Hastaların çoğu yaşamlarının ikinci ve üçüncü on yılında başvurdu 21-30 yaş: %27.27, 31-40 yaş: %18.18 . Hastaların çoğunun sosyoekonomik durumu düşüktü %59.1 . Açık mastoidektomi en yaygın uygulanan işlemdi %79.5 . Kolesteatom en yaygın ameliyat bulgusuydu %100 . Ekstrakraniyal komplikasyonlar içinde subperiostal apse en yaygın bulgu iken %38.63 intrakraniyal komplikasyonlarda ekstradural apse daha çoktu %22.72 .Sonuç: Kronik süpüratif otitis media komplikasyonları yaygın olarak düşük sosyoekonomik durumu olan daha genç insanları etkiler. Beyin cerrahlarıyla işbirliği yapılması bu enfeksiyonun başarıyla yönetilmesinde yardımcı olabilir

Anahtar Kelimeler:

Ekstrakraniyal komplikasyonlar, intrakraniyal komplikasyonlar, süpüratif otitis media

Complications of chronic suppurative otitis media: challenge for a developing country

Objectives: This study aims to investigate the frequency and management of complications of chronic suppurative otitis media CSOM . Patients and Methods: Out of 376 patients with CSOM, 44 patients 25 males, 19 females; mean age 48.5±3.5 years; range 21 to 76 years meeting study criteria were enrolled in this descriptive cross sectional study which was conducted at the Department of Ear Nose and Throat, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital Peshawar. All newly diagnosed patients having CSOM with complications were enrolled. The complications were treated first. Intracranial abscesses were evacuated by neurosurgeons. Radical and modified radical mastoidectomy were performed. Results: Majority of the patients presented in the second and third decade of life 21-30 years: 27.27%, 31-40 years: 18.18% . Most of the patients 59.1% had lower socioeconomic status. Canal wall down mastoidectomy was the most common 79.5% procedure performed. Cholesteatoma was the most common operative finding 100% . Among extracranial complications, subperiosteal abscess was the most common finding 38.63% , while extradural abscess outnumbered 22.72% in intracranial complications. Conclusion: Complications of CSOM commonly affect younger people with low socioeconomic status. Collaborating with neurosurgeons may assist in the successful management of this infection.

Keywords:

Extracranial complications, intracranial complications, suppurative otitis media,

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