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- Title
Intracranial Complications of Chronic Otitis Media: Why Does It Still Occur?
- Authors
Gendeh, Hardip Singh; Abdullah, Asma binti; Goh, Bee See; Hashim, Noor Dina
- Abstract
Intracranial complications secondary to chronic otitis media (COM) include otogenic brain abscess and sinus thrombosis. Intravenous antibiotics and imaging have significantly reduced the incidence of intracranial complications secondary to COM. However, the same does not apply to a developing country like Malaysia, which still experiences persisting otogenic complications. This case series describes 3 patients with COM and intracranial complications. All 3 patients had COM with mastoiditis, with 1 of the 3 having a cholesteatoma. Postulated reasons for the continued occurrence include poor access to health care, poor compliance with medication, and the lack of pneumococcal vaccination during childhood. In conclusion, public awareness and a timely specialty referral can reduce the incidence of intracranial complications of COM.
- Subjects
MALAYSIA; CHRONIC disease diagnosis; OTITIS media diagnosis; BRAIN diseases; ANTIBIOTICS; BRAIN abscess; CHOLESTEATOMA; DRUGS; HEALTH services accessibility; INTRAVENOUS therapy; OTITIS media; PATIENT compliance; PNEUMOCOCCAL vaccines; PUBLIC health; SINUS thrombosis; MASTOIDITIS; DISEASE complications; DISEASE risk factors
- Publication
ENT: Ear, Nose & Throat Journal, 2019, Vol 98, Issue 7, p416
- ISSN
0145-5613
- Publication type
Article
- DOI
10.1177/0145561319840166