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(PDF) Complications of otitis media – a potentially lethal problem still present | Sujana Chandrasekhar - Academia.edu

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class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Complications of otitis media – a potentially lethal problem still present</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="33388047" href="https://independent.academia.edu/SujanaChandrasekhar"><img alt="Profile image of Sujana Chandrasekhar" class="ds-work-card--author-avatar" src="//a.academia-assets.com/images/s65_no_pic.png" />Sujana Chandrasekhar</a></div><p class="ds-work-card--detail ds2-5-body-sm">2015, Brazilian Journal of Otorhinolaryngology</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" 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data-landing_url="https://www.academia.edu/62112032/Complications_of_otitis_media_a_potentially_lethal_problem_still_present" data-login_uri="https://www.academia.edu/registrations/google_one_tap" data-moment_callback="onGoogleOneTapEvent" id="g_id_onload"></div><div class="ds-top-related-works--grid-container"><div class="ds-related-content--container ds-top-related-works--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="0" 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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Intracranial and extracranial complications of chronic otitis media and their management at a tertiary care center: a descriptive study&quot;,&quot;attachmentId&quot;:96506323,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/93896364/Intracranial_and_extracranial_complications_of_chronic_otitis_media_and_their_management_at_a_tertiary_care_center_a_descriptive_study&quot;,&quot;alternativeTracking&quot;: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="1" data-entity-id="120511332" 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/120511332/Intracranial_Complications_of_Chronic_Otitis_Media_Why_Does_It_Still_Occur">Intracranial Complications of Chronic Otitis Media: Why Does It Still Occur?</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="96389962" href="https://independent.academia.edu/HardipGendeh">Hardip Gendeh</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Ear, nose, &amp; 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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Intracranial Complications of Chronic Otitis Media: Why Does It Still Occur?&quot;,&quot;attachmentId&quot;:115636818,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/120511332/Intracranial_Complications_of_Chronic_Otitis_Media_Why_Does_It_Still_Occur&quot;,&quot;alternativeTracking&quot;: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" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" 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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Intracranial complications of otitis media: 15 years of experience in 33 patients&quot;,&quot;attachmentId&quot;:44358854,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/14282118/Intracranial_complications_of_otitis_media_15_years_of_experience_in_33_patients&quot;,&quot;alternativeTracking&quot;: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="3" data-entity-id="115349787" 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/115349787/Complications_of_chronic_suppurative_otitis_media_and_their_management_five_year_study_at_tertiary_care_centre">Complications of chronic suppurative otitis media and their management: five year study at tertiary care centre</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="298380704" href="https://independent.academia.edu/MohiteAnjana">Anjana Mohite</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Otorhinolaryngology and Head and Neck Surgery, 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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Complications of chronic suppurative otitis media and their management: five year study at tertiary care centre&quot;,&quot;attachmentId&quot;:111782957,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/115349787/Complications_of_chronic_suppurative_otitis_media_and_their_management_five_year_study_at_tertiary_care_centre&quot;,&quot;alternativeTracking&quot;: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/115349787/Complications_of_chronic_suppurative_otitis_media_and_their_management_five_year_study_at_tertiary_care_centre"><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="76764646" 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/76764646/Epidemiology_of_Intratemporal_Complications_of_Otitis_Media">Epidemiology of Intratemporal Complications of Otitis Media</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="182388128" href="https://independent.academia.edu/Jos%C3%A9Andrade81">José Andrade</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Archives of Otorhinolaryngology, 2014</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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Epidemiology of Intratemporal Complications of Otitis Media&quot;,&quot;attachmentId&quot;:84364907,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/76764646/Epidemiology_of_Intratemporal_Complications_of_Otitis_Media&quot;,&quot;alternativeTracking&quot;: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/76764646/Epidemiology_of_Intratemporal_Complications_of_Otitis_Media"><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="115088567" 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/115088567/Complications_of_chronic_otitis_media_and_their_management_a_study_at_tertiary_care_centre">Complications of chronic otitis media and their management: a study at tertiary care centre</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="273047295" href="https://independent.academia.edu/SharmisthaTalukdar">Sharmistha Talukdar</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Research in Medical Sciences</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: Chronic otitis media is a disease associated with complications. Due to ignorance, poor literacy and late presentation the management becomes challenging and difficult. The aim is to find the incidence of complications of COM and their management. Methods: This is a hospital based observational study carried out on 50 patients with COM admitted in the Department of Otorhinolaryngology of a tertiary care centre during a period of 1 year. Results: Out of 50 patients, 19 cases of safe COM and 31 of unsafe COM. 31% of safe COM patients had complications with 100% extracranial complication (mastoiditis). 45% of unsafe COM had complications, where most common extracranial complication was mastoiditis and intracranial complication was brain abscess. Complications were more common in the age group of 21-30 years. In all the patients, multiple intravenous antibiotics were given covering gram positive, gram negative and anaerobic organisms. The intracranial complications were init...</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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Complications of chronic otitis media and their management: a study at tertiary care centre&quot;,&quot;attachmentId&quot;:111599054,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/115088567/Complications_of_chronic_otitis_media_and_their_management_a_study_at_tertiary_care_centre&quot;,&quot;alternativeTracking&quot;: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/115088567/Complications_of_chronic_otitis_media_and_their_management_a_study_at_tertiary_care_centre"><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="58994980" 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/58994980/Acute_Otitis_Media_Complications">Acute Otitis Media Complications</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="60674552" href="https://independent.academia.edu/FatihTopuz1">Fatih Topuz</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Clinical and Experimental Investigations</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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Acute Otitis Media Complications&quot;,&quot;attachmentId&quot;:73136819,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/58994980/Acute_Otitis_Media_Complications&quot;,&quot;alternativeTracking&quot;: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/58994980/Acute_Otitis_Media_Complications"><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="117996976" 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/117996976/Intratemporal_Complications_From_Acute_Otitis_Media_in_Children_17_Cases_in_two_Years">Intratemporal Complications From Acute Otitis Media in Children: 17 Cases in two Years</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="65530725" href="https://independent.academia.edu/PatriciaSommerfleck">Patricia Sommerfleck</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Acta Otorrinolaringologica (english Edition), 2012</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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Intratemporal Complications From Acute Otitis Media in Children: 17 Cases in two Years&quot;,&quot;attachmentId&quot;:113724891,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/117996976/Intratemporal_Complications_From_Acute_Otitis_Media_in_Children_17_Cases_in_two_Years&quot;,&quot;alternativeTracking&quot;: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/117996976/Intratemporal_Complications_From_Acute_Otitis_Media_in_Children_17_Cases_in_two_Years"><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="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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;A study of complications of chronic suppurative otitis media at tertiary care hospital&quot;,&quot;attachmentId&quot;:67714967,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/49341071/A_study_of_complications_of_chronic_suppurative_otitis_media_at_tertiary_care_hospital&quot;,&quot;alternativeTracking&quot;: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="9" data-entity-id="112455943" 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/112455943/Complications_of_Chronic_Suppurative_Otitis_Media_and_Their_Management_A_Single_Institution_12_Years_Experience">Complications of Chronic Suppurative Otitis Media and Their Management: A Single Institution 12 Years Experience</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="27517612" href="https://sail-bhilaisteel.academia.edu/AshwinJaiswal">Ashwin Jaiswal</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Indian Journal of Otolaryngology and Head &amp; Neck Surgery, 2015</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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Complications of Chronic Suppurative Otitis Media and Their Management: A Single Institution 12 Years Experience&quot;,&quot;attachmentId&quot;:109681114,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/112455943/Complications_of_Chronic_Suppurative_Otitis_Media_and_Their_Management_A_Single_Institution_12_Years_Experience&quot;,&quot;alternativeTracking&quot;: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/112455943/Complications_of_Chronic_Suppurative_Otitis_Media_and_Their_Management_A_Single_Institution_12_Years_Experience"><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></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--sticky-ctas&quot;,&quot;attachmentId&quot;:74961998,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;download-pdf-button--sticky-ctas&quot;,&quot;attachmentId&quot;:74961998,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_74961998" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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data-collection-position="7" data-entity-id="116643011" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/116643011/Complicated_Suppurative_Otitis_Media_Presented_To_Sohag_University_Hospital">Complicated Suppurative Otitis Media Presented To Sohag University Hospital</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="235320684" href="https://independent.academia.edu/HananSaid20">Hanan Said</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Egyptian Journal of Neck Surgery and Otorhinolaryngology</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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Complicated Suppurative Otitis Media Presented To Sohag University 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href="https://www.academia.edu/23639533/Otitis_media_Update_on_etiology_and_management">Otitis media: Update on etiology and management</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="45622636" href="https://independent.academia.edu/Handler">Steven Handler</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Annals of Emergency Medicine, 1982</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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Otitis media: Update on etiology and management&quot;,&quot;attachmentId&quot;:44049789,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/23639533/Otitis_media_Update_on_etiology_and_management&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" 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Report from the International Primary Care Network (IPCN) and the Ambulatory Sentinel Practice Network (ASPN)</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33210163" href="https://bu.academia.edu/LarryCulpepper">Larry Culpepper</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2000</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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;A Cross-National Study of Acute Otitis Media: Risk Factors, Severity, and Treatment at Initial Visit. 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data-author-id="72966846" href="https://independent.academia.edu/PaulGrob">Paul Grob</a></div><p class="ds-related-work--metadata ds2-5-body-xs">The Journal of the American Board of Family Practice / American Board of Family Practice</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="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Acute otitis media in adults: a report from the International Primary Care Network&quot;,&quot;attachmentId&quot;:77269981,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/65852386/Acute_otitis_media_in_adults_a_report_from_the_International_Primary_Care_Network&quot;,&quot;alternativeTracking&quot;: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 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