Complications Of Suppurative Otitis Media Still Occur In The 21st Century

  • Hamza alshafae Department of E.N.T, Faculty of Medicine, Assiut University, Assiut Egypt.
  • Mostafa Othman Department of E.N.T, Faculty of Medicine, Assiut University, Assiut Egypt.
  • Emaad alfasse Sirte University
Keywords: Otitis Media, CSOM, Assiut Hosptial (AUH) Egypt


Chronic suppurative otitis media is chronic inflammation affected the middle ear and divided in 2 types benign and malignant type, Where the complication most aggressive with the malignant type.

This study is aretrospective chart review for files of patients with suppurative otitis media complicated with one or more of the cranial and or intra-cranial complications of CSOM and attended to Assiut University Hospital (AUH) for management of their diseases during the 10 years from 1- 1-2005 to 31-12-2014. The patients were grouped into 3 groups: Group I: - with Cranial complications. Group II: - with Intra-cranial complications. Group III: - with mixed complications.

The aim of study was to Identification of cases with different cranial and intra-cranial complications of suppurative otitis media that presented to AUH from 1-1-2005 to 31-12-2014, analyzing the factors surrounding these patients with complications, and Identification of the ways of management done


Yorgancilar E. Yildirum M. Gun R. Bakir S. Tekin R. Gocmez C. Meric F. Topcu I. (2013): complications of chronic suppurative otitis media: a retrospective review. Eur Arch otol 270:69-76 WHO-2004.
Thorne MC, Chewaproug L, Elden LM. (2009): Suppurative complications of acute otitis media: changes in frequency over time. Arch Otolaryngol Head Neck Surg.
Smith JA, Danner CJ. (2006): Complications of chronic otitis media and cholesteatoma. Otolaryngol Clin North Am. 39:1237-55.
Rupa V, Raman R. (1991): Chronic suppurative otitis media: complicated versus uncomplicated disease. Acta Otolaryngol. 111:530-5 .Penido NO, Borin A, Iha LC. (2005): Intracranial complications of otitis media: 15 years of experience in 33 patients.Otolaryngol Head Neck Surg .Osma U, Cureoglu S, Hosoglu S. (2000): The complications of chronic otitis media: report of 93 cases. J Laryngol Otol. 114:97-100.
Savic DL, Djeric DR. (1989): Facial paralysis in chronic suppurative otitis media. Clin Otolaryngol Allied Sci. 14:515-7.
Nissen AJ, Bui H. (1996): Complications of chronic otitis media. Ear Nose Throat J. 75:284-92.
Mustafa A, Heta A, Kastrati B, Dreshaj S. (2008): Complications of chronic otitis media with cholesteatoma during a 10-year period in Kosovo. Eur Arch Otorhinolaryngol. 265:1477-82.
Pennybacker J. (1961): Discussion on intracranial complications of otogenic origin. Proc R Soc Otol; 54: 309-20.
Mauricio S. Rita C. Krumennauer F. Lubicana N. (2005): intracranial complications of chronic suppurative otitis media in children. V71, n5, 639- 43
Kuczkowski J. Mikaszewski B. (2001): intracranial complications of acute and chronic mastoditis: report of two cases in children. Int. j of ped otol 227- 237.
Kangsanarak J, Fooanant S, Ruckphaopunt K, Navacharoen N, Teotrakul S. (1993): Extracranial andintracranial complications of suppurative otitis media. Report of 102 cases. J Laryngol Otol. 107:999-1004.
Hyden D. Akerlind B. Peebo M. (2006): inner ear and facial nerve complications of acute otitis media with focus on bacteriology and virology. Acta oto-laryngologica 126: 460-466.
Harker LA, Pignatari SS. (1992): Facial nerve paralysis secondary to chronic otitis media without cholesteatoma. Am J Otol. 13:372-4.
Gerami H, Naghavi E, Wahabi-Moghadam M. (2009): Comparison of preoperative computerized tomography scan imaging of temporal bone with the intra-operative findings in patients undergoing mastoidectomy. Saudi Med J.
Dubey SP, Larawin V. (2007): Complications of chronic suppurative otitis media and their management.Laryngoscope..
Ceylan A. Bayazit Y. Yilmaz M. Celenk F. Bayramoglu I. Uygur K. Goksu N (2009): Extracranial complications of chronic otitis media. 51-55
Acuin J. (2007): Chronic suppurative otitis media. Clin Evid (Online).
Abdelmoneim M. (1988): The study intracranial complications of otitis media, thesis. Assiut University Hospital. P 48.
Aziz N. (2006): Inflammatory Diseases of the Middle Ear, Medscape, 2012 Verhoeff M, van der Veen EL, Rovers MM.