Abstract
Objective
Medical management of exocranial otogenic complications represents a challenge for a medical system of a country in general, especially for ENT services. The goal of this study is to find some answers on demographic data, clinical symptoms and signs, diagnostics, and especially therapy for these complications in young patients.
Method
The study is retrospective, performed in the ENT clinic of the University Clinical Center of Kosova in Prishtina and covers 10 years (from 01.06.2000 to 01.06.2010) and includes all young aged patients (1–18 years) hospitalized because of exocranial otogenic complications.
Results
From a total of 35 patients, male were 22 (63%) and females 13 (37%). The commonest complications were: mastoiditis in 18 (51.4%) and subperiosteal mastoidal abscess in 12 cases (34%) than rarest complications were: Bezold's abscess in 2 cases, facial nerve paresis, labyrinthitis, and combined complication one case each. Diagnostics of these cases were based on the clinical appearance, laboratory analyses, and clinical imaging. Treatment of these patients was surgical, medical, and combined: 3 of the medical therapy only (intravenous antibiotics), and 32 others were treated surgically: cortical mastoidectomy in 16 (45%) of cases, mastoidectomy and aeration tube insertion in 6 (17%) and antrotomy in 3 (8.5%) of cases. None of these series of patients died and none of them had permanent sequels.
Conclusion
Timely diagnostics and adequate treatment of exocranial otogenic complications made it possible that our results can be comparable with the results of other referent centers cited in the recent literature.
Similar content being viewed by others
References
Gacek R (2009) Anatomy of the auditory and vestibular systems. In: Snow JB, Wackym PA (eds) Bellenger’s otolaryngology-head and neck surgery, 17th-th Centennial edn. BC Decker Inc., p 3
Go C, Bernstein JM, de Jong AL, Sulek M, Friedman EM (2000) Intracranial complications of acute mastoiditis. Int J Pediatr Otorhinolaryngol 52:143–148
Zanetti D, Nassif N (2006) Indications for surgery in acute mastoiditis and their complications in children. Int J Pediatr Otorhinolaryngol 70:1175–1182
Vazquez E, Castellote A, Piqueras J, Mauleon S, Creixell S, Pumarola F, Figueras C, Carreño JC, Lucaya J (2003) Imaging of complications of acute mastoiditis in children. Radiographics 23:359–372
Harimaya A, Takada R, Himi T et al (2007) Evidence of local antibody response against Alloiococcus otitidis in the middle ear cavity in children with otitis media. FEMS Immunol Med Microbiol 49:41–45
Mustafa A, Debry Ch, Wiorowski M, Martin E, Gentine A (2004) Treatment of acute mastoiditis: report of 31 cases over a ten year period. Rev Laryngol Otol Rhinol 125:165–169
Benito BM, Gorricho BP (2006) Acute mastoiditis: Increase of incidence and contraversies in antibiotic treatment. Rev Esp Quimioterap 19:337–341
Glynn F, Osman L, Colreavy M, Rowley H, Dwyer TPO, Blayney A (2008) Acute mastoiditis in children: long term consequences. J Laryngol Otol 122:233–237
Thorne M, Chewaproug L, Elden LM (2009) Suppurative complications of acute otitis media-changes in frequency over time. Arch Otolaryngol Head Neck Surg 135:638–641
Glasziou PP, Del Mar CB, Sanders SL, Hayem M (2002) Antibiotics for acute otitis media in children. (Cochrane Review). The Cochrane Library. Update Software Ltd, Oxford
Luntz M, Brodsky A, Nusen S, Kronenberg J, Keren G, Migirov L, Cohen D, Zohar S, Shapira A, Ophir D, Fishman G, Kisilevsky V, Magamse I, Zaaroura S, Joachims HZ, Goldenberg D (2001) Acute mastoiditis—the antibiotic era: a multicenter study. Int J Pediatr Otorhinolaryngol 57:1–9
Linder TE, Briner HR, Bischof T (2000) Prevention of acute mastoiditis: fact or fiction? Int J Pediatr Otorhinolaryngol 56(1):129–134
Petersen CG, Ovesen T, Pedersen CB (1977) Acute mastoidectomy in a Danish county from to 1977 to 1997-operative findings and long-term results. Acta Otolaryngol 2000(Suppl 543):122–126
Taylor MF, Berkowitz RG (2004) Indications for mastoidectomy in acute mastoiditis in children. Ann Otol Rhinol Laryngol 113:69–72
Standing Medical Advisory Committee subgroup on antimicrobial resistance (1998) The path of least resistance. London: Department of Health. www.advisorybodies.doh.gov.uk/SMAC/SMAC1.HTM
Khafif A, Halperin D, Hochman I, Gertler R, Poria I, Shindel D, Marshak G (2000) Acute mastoiditis: a 10-year review. Am J Otolaryngol 19:170–173
Jiang CB, Chiu NC, Hsu CH, Lee KS, Shu MT, Huang FY (2000) Clinical presentation of acute mastoiditis in children. J Microbiol Immunol Infect 33:187–190
Jose J, Coatsworth AP, Anthony R, Reilly PG (2003) Life-threatening complications after partially treated mastoiditis. BMJ 327:41–42
Maffe MF, Valvassori GE (2009) Imaging of the temporal bone. In: Snow JB, Wackym PA (eds) Bellenger’s otolaryngology-head and neck surgery, 17th-th Centennial edn. BC Decker Inc., pp 145–171
Vasquez E, Castellote A, Carreno JC, Piqueras J, Mauleon S, Creixell S, Pumarola F, Figueras C, Lucaya J (2003) Imagigng of complications of acute mastoiditis in children. Radiographics 23:359–372
Neely JG, Arts HA (2006) Chapter 138. Intratemporal and intracranial complications of otitis media. In: Bailey BJ, Johnson JT, Newlands SD (eds) Head & neck surgery otolaryngology, 4th edn. Lippincott Wilkins & Wilkins (virtual edition)
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Mustafa, M., Hysenaj, Q., Mustafa, A. et al. Management of otogene extracranial complications in children and adolescents: report of 35 cases over 10 years. Eur Arch Otorhinolaryngol 280, 1653–1659 (2023). https://doi.org/10.1007/s00405-022-07650-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-022-07650-x