Pediatr. praxi. 2008;9(4):228-231

Complications of otitis media, diagnostic and treatment

prof. MUDr. Ivo Šlapák CSc, MUDr. Dalibor Janeček

Klinika dětské ORL, LF MU a FN Brno

Otogenic complications develop in the course of acute or chronic otitis media, they are health and life threatening and require precise diagnostic and adequate therapy. According literature the incidence of acute complications of otitis media is 0.3–1/100 000/year. Complications are divided to intratemporal complications, that develop in pneumatic system of temporal bone and its bone structures. They involve acute mastoiditis, chronic mastoiditis (latent), peripheral palsy of facial nerve, acute labyrintitis, acute petrositis.

Intracranial complications (these complications develop in intracranial space adjacent to temporal bone and in remote areas of intracranial space) involve acute meningitis, epidural, subdural, brain and cerebellar abscess, sigmoid sinus thrombophlebitis, hydrocephalus. Extracranial complications are rare (spread of infection beyond temporal bone, usually during its destruction) to soft tissues under skull base with possible further propagation caudally or to intracranial space.

Keywords: Key words: otitis media acuta, intratemporal complications, mastoiditis acuta, chronic mastoiditis, facial nerv palsy, petrositis, labyrintitis, intracranial complications, tromboflebitis a trombosis sigmoid sinus, meningitis, brain absces.

Published: November 1, 2008  Show citation