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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 5, Issue 3, 2013 pp 164-165

Review Article

Intracranial complications of CSOM a study in the Tribal Area of Adilabad (A.P.)

 

Jadhav Pramod1*, P. Satyanarayana2, Hemanth Rao3

{1Professor, 2, 3Assistant Professor} Department of ENT, RIMS, Adilabad, Andhra Pradesh, INDIA.


Academic Editor : Dr. Aher K.R.

Abstract

 

Objective: the study is done with aim to review the result of management and pathogenesis of intracranial complications of chronic middle ear infection. Methods: This was a review of 18 cases who suffered with intracranial complications secondary to CSOM between 2010-2012. The analysis and review of symptomatology, clinical features along with conservative and surgical management is compiled in present study. Results: there were 5 patients (27%) in 0 - 10years; 3 patients in (16.6%) 11 to 20 years; and 10 patients (55.5%); in above 20years age. There is twice involvement of males as compared to females. In 18cases, 10cases had (55.5%) a single intracranial complication; whereas 8 cases (44.4%) had multiple intracranial complications. Conclusion: The patients who presented with delayed sequelae of intracranial complications secondary to CSOM had bad prognosis. The reason of this poor prognosis was spread of infection to sinuscausing sinus thrombophlebitis, cerebellar abscess, coning, spread to jugular bulb and resulting in empyema.