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[{"id":111782957,"identifier":"Attachment_111782957","shouldShowBulkDownload":false}]; window.loswp.shouldDetectTimezone = true; window.loswp.shouldShowBulkDownload = true; window.loswp.showSignupCaptcha = false window.loswp.willEdgeCache = false; window.loswp.work = {"work":{"id":115349787,"created_at":"2024-02-24T06:17:07.488-08:00","from_world_paper_id":250385723,"updated_at":"2024-11-24T08:50:49.340-08:00","_data":{"publisher":"Medip Academy","grobid_abstract":"Chronic suppurative otitis media is a disease associated with complications if not managed in time. Due to ignorance, poor literacy and late presentation the management becomes challenging and difficult. Inspite of the advent of higher antibiotics, chronic otitis media poses a threat to ENT surgeons because of the varied intra cranial and extra cranial complications that can be encountered. These complications are caused by progressive erosion of the bone thus increasing the risk of damage to exposed labyrinth, the dura and facial nerve. Prior to antibiotic era, intracranial (IC) complications occurred in 2.3-4% cases. With the advent of newer antibiotics and newer surgical techniques, the complication have been greatly reduced from 2.3-4% to 0.15-0.04%. 1 Likewise a decline in mortality has been seen from 25 to 8%. Though there is an overall decline in the rate of complications of otitis media, life threatening complications are still seen to exist. The reasons behind ABSTRACT Background: Chronic suppurative otitis media is a disease that can end up in complications when treatment is delayed. The present prospective study was conducted at our tertiary care hospital and teaching centre to evaluate the incidence of complications of CSOM and their management. Methods: We analysed the clinical and intra operative findings, type of medical and surgical management and recovery of the patient. Results: Total 20 cases of CSOM with complications were reviewed in study period of 5 years. Of these 20 cases, 14 cases had extracranial (EC) while 6 cases had intracranial (IC) complications. The encountered IC complications were brain abscess ie temporal lobe abscess, pyogenic meningitis, lateral sinus thrombophlebitis and extradural abscess. Among the EC complications, mastoid abscess, Bezolds abscess, zygomatic abscess and labyrinthitis were encountered. The IC complications presented with fever, headache, and signs of meningeal irritation. Pseudomonas aeruginosa, Proteus, Staphylococcus epidermidis and E. coli were the common organisms isolated. Both groups of patients had cholesteatoma and middle ear granulations. Surgery was the main modality of treatment with zero mortality rate. We reviewed the clinical presentation and management in both groups. Conclusions: CSOM complications, inspite of their reduced incidence still pose a great challenge in developing countries. When the disease presents late, it lead to difficulty in management and consequently higher mortality. Our study emphasizes the importance of early diagnosis and prompt management.","publication_date":"2019,6,27","publication_name":"International Journal of Otorhinolaryngology and Head and Neck Surgery","grobid_abstract_attachment_id":"111782957"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Complications of chronic suppurative otitis media and their management: five year study at tertiary care centre","broadcastable":true,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [298380704]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div 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class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="14147260" href="https://independent.academia.edu/DharmaBaskota">Dharma Baskota</a></div><p class="ds-related-work--metadata ds2-5-body-xs">European Archives of Oto-Rhino-Laryngology, 2013</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Complications of chronic suppurative otitis media: a retrospective review","attachmentId":71018438,"attachmentType":"pdf","work_url":"https://www.academia.edu/54862508/Complications_of_chronic_suppurative_otitis_media_a_retrospective_review","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline 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Otolaryngology, 2021</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A Clinical Study on Complications of Chronic Suppurative Otitis Media","attachmentId":116767419,"attachmentType":"pdf","work_url":"https://www.academia.edu/122020738/A_Clinical_Study_on_Complications_of_Chronic_Suppurative_Otitis_Media","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/122020738/A_Clinical_Study_on_Complications_of_Chronic_Suppurative_Otitis_Media"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" 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translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="93896364" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/93896364/Intracranial_and_extracranial_complications_of_chronic_otitis_media_and_their_management_at_a_tertiary_care_center_a_descriptive_study">Intracranial and extracranial complications of chronic otitis media and their management at a tertiary care center: a descriptive study</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="238733260" href="https://independent.academia.edu/MdRumanAhmed">Md Ruman Ahmed</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Otorhinolaryngology and Head and Neck Surgery, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: In the pre-antibiotic era complications from otitis media occurred abundantly, accompanied by high morbidity and mortality. With availability of higher antibiotics, morbidity and mortality due to chronic otitis media (COM) has reduced, but still complications due to COM remain a significant problem in developing countries. The aim is to study clinical presentation, management and outcomes of intracranial and extracranial complications of COM. Study design is retrospective case series study. Methods: Patients admitted in department of otorhinolaryngology and head and neck surgery, S. Nijalingappa medical college and H.S.K hospital and research center, Bagalkot from May 2018 to April 2020 with COM associated with intracranial or extracranial complications were included in the study. Data of clinical presentation, associated complications, management, and follow-up were analyzed. Results: A total of 20 patients were reviewed during study period. Of these seventeen patients ...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Intracranial and extracranial complications of chronic otitis media and their management at a tertiary care center: a descriptive study","attachmentId":96506323,"attachmentType":"pdf","work_url":"https://www.academia.edu/93896364/Intracranial_and_extracranial_complications_of_chronic_otitis_media_and_their_management_at_a_tertiary_care_center_a_descriptive_study","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/93896364/Intracranial_and_extracranial_complications_of_chronic_otitis_media_and_their_management_at_a_tertiary_care_center_a_descriptive_study"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="36366139" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/36366139/A_clinical_study_on_complications_of_chronic_suppurative_otitis_media_and_level_of_awareness_in_patients_admitted_at_tertiary_care_hospital_in_central_India">A clinical study on complications of chronic suppurative otitis media and level of awareness in patients admitted at tertiary care hospital in central India</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="80376145" href="https://husc.academia.edu/NhanLe">Nhan Le</a></div><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A clinical study on complications of chronic suppurative otitis media and level of awareness in patients admitted at tertiary care hospital in central India","attachmentId":56275429,"attachmentType":"pdf","work_url":"https://www.academia.edu/36366139/A_clinical_study_on_complications_of_chronic_suppurative_otitis_media_and_level_of_awareness_in_patients_admitted_at_tertiary_care_hospital_in_central_India","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/36366139/A_clinical_study_on_complications_of_chronic_suppurative_otitis_media_and_level_of_awareness_in_patients_admitted_at_tertiary_care_hospital_in_central_India"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="49341071" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/49341071/A_study_of_complications_of_chronic_suppurative_otitis_media_at_tertiary_care_hospital">A study of complications of chronic suppurative otitis media at tertiary care hospital</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="165020089" href="https://independent.academia.edu/DRBHAGIRATHSINHPARMAR">DR BHAGIRATHSINH PARMAR</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Otorhinolaryngology and Head and Neck Surgery</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: Chronic suppurative otitis media (CSOM) is a still common disease in developing country and is found sometimes difficult to treat. Different complications can develop inspite of availability of higher antibiotics. In pre-antibiotic era, complications of acute otitis media and CSOM were very common and lead to high mortality. Inspite of initial decline in the complication of CSOM due to higher antibiotics, the incidences are still on rise. CSOM remains a serious disease, particularly in developing countries and CSOM-related complications are still found life-threatening. The aim and objective was to study various clinical presentations and management of CSOM related complications.Methods: All patients of chronic supurrative otitis media with intra or extracranial complication who were admitted in Department of Otorhinolaryngology Head and Neck surgery, Sir. T. General Hospital, Government Medical College, Bhavnagar from July 2015 to December 2018 was included in this stud...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A study of complications of chronic suppurative otitis media at tertiary care hospital","attachmentId":67714967,"attachmentType":"pdf","work_url":"https://www.academia.edu/49341071/A_study_of_complications_of_chronic_suppurative_otitis_media_at_tertiary_care_hospital","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/49341071/A_study_of_complications_of_chronic_suppurative_otitis_media_at_tertiary_care_hospital"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="14282118" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/14282118/Intracranial_complications_of_otitis_media_15_years_of_experience_in_33_patients">Intracranial complications of otitis media: 15 years of experience in 33 patients</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33414424" href="https://unifesp.academia.edu/LuizIha">Luiz Iha</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33246732" href="https://unifesp.academia.edu/Vin%C3%ADciusSuguri">Vinícius Suguri</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33406249" href="https://unifesp.academia.edu/NormaDeOliveiraPenido">Norma De Oliveira Penido</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33642201" href="https://unifesp.academia.edu/EktorOnishi">Ektor Onishi</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Otolaryngology - Head and Neck Surgery, 2005</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Intracranial complications of otitis media: 15 years of experience in 33 patients","attachmentId":44358854,"attachmentType":"pdf","work_url":"https://www.academia.edu/14282118/Intracranial_complications_of_otitis_media_15_years_of_experience_in_33_patients","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/14282118/Intracranial_complications_of_otitis_media_15_years_of_experience_in_33_patients"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="5302923" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/5302923/Complications_of_Suppurative_Otitis_Media_Still_a_Problem_in_the_21st_Century">Complications of Suppurative Otitis Media: Still a Problem in the 21st Century</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="41684092" href="https://shams.academia.edu/BadrMostafa">Badr Mostafa</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="56245780" href="https://independent.academia.edu/ElFiki">M. El-Fiki</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="7306754" href="https://independent.academia.edu/LobnaElFiky">Lobna El Fiky</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Orl-journal for Oto-rhino-laryngology and Its Related Specialties, 2009</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Complications of Suppurative Otitis Media: Still a Problem in the 21st Century","attachmentId":49356900,"attachmentType":"pdf","work_url":"https://www.academia.edu/5302923/Complications_of_Suppurative_Otitis_Media_Still_a_Problem_in_the_21st_Century","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/5302923/Complications_of_Suppurative_Otitis_Media_Still_a_Problem_in_the_21st_Century"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="55172973" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/55172973/Simultaneous_Management_of_Otogenic_Brain_Abscess_and_Suppurative_Otitis_Media_Retrospective_analysis">Simultaneous Management of Otogenic Brain Abscess and Suppurative Otitis Media: Retrospective analysis</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="49669226" href="https://iom.academia.edu/GopalSedain">Gopal Sedain</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Nepal Journal of Neuroscience, 2016</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Simultaneous Management of Otogenic Brain Abscess and Suppurative Otitis Media: Retrospective analysis","attachmentId":71170600,"attachmentType":"pdf","work_url":"https://www.academia.edu/55172973/Simultaneous_Management_of_Otogenic_Brain_Abscess_and_Suppurative_Otitis_Media_Retrospective_analysis","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" 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nose, & throat journal, 2019</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Intracranial Complications of Chronic Otitis Media: Why Does It Still Occur?","attachmentId":115636818,"attachmentType":"pdf","work_url":"https://www.academia.edu/120511332/Intracranial_Complications_of_Chronic_Otitis_Media_Why_Does_It_Still_Occur","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/120511332/Intracranial_Complications_of_Chronic_Otitis_Media_Why_Does_It_Still_Occur"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" 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