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2013, Number 1

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Rev Cubana Pediatr 2013; 85 (1)

Complications of acute and chronic otitis media in the child

Quintero NJL, Álvarez LI, Hernández CMC, Meléndez QLL

Language: Spanish
References: 45
Page: 89-105
PDF size: 192.21 Kb.


ABSTRACT

Thanks to the discovery of antiobiotics, the incidence of complications in the chronic and acute otitis media has significantly decreased, though they remain a potential mortality and morbidity risk. The reduction of complications can be conditional on some diagnostic delays, on account of lack of clinical suspicions, symptoms disguised by previous antibiotic treatments and wrong prognosis; therefore, the complications continue to be severe processes that endanger the patient's life. They are currently classified as extracranial and intracranial. The former are divided into extratemporal and intratemporal and represent a health problem for the pediatric population despite the extended use of antibiotics. The clinical, otomicroscopic and imaging assessment is reported as a diagnostic criterion predictive of suspicions and of confirmation. Facial paralysis, vertigo, vomiting, headache, pain irradiated to the mastoids, or to the temporoparietal region, and hyperthermia should be alerts to the physician about suppurative otitis complication.


REFERENCES

  1. Wu JF, Jin Z, Yang JM, Liu YH, Duan ML. Extracranial and intracranial complications of otitis media: 22 year clinical experience and analysis. Acta Otolaryngology. 2012;132:261-5.

  2. Zalzal G. Complicaciones de la otitis media aguda. En: Sih T, Chinski A, Eavey R, Godinho R, editores. Manual de Otorrinolaringología Pediátrica de la IAPO. Brazil: Vida & Consciência; 2007. p. 280-2.

  3. Quintero JL. Otitis media crónica. En: De la Torre E, Pelayo EJ, editores. Pediatría. V6. La Habana: Editorial Ciencias Médicas; 2011. p. 2644-54.

  4. De la Flor J. Infecciones de vías respiratorias altas II. Otitis media: etiología, clínica, diagnóstico, complicación y tratamiento; otitis media recurrente y otitis media crónica; otitis externa. En: Prandi F, Del Pozo J, Hidalgo I, De la Flor J, editores, et al. Pediatría Integral. V XIII. Madrid: Ergon; 2009. p. 333-55.

  5. Bakhos D, Trijolet JP, Morinieri S, Pondaven S, Al Zahrani M, Lescanne E. Conservative management of acute mastoiditis in children. Arch Otolaryngol Head Neck Surg. 2011;137(4):346-50.

  6. Garcés-Sánchez M, Diez-Domingo J, Álvarez de Labiada T, Planelles V, Graullera M, Baldo JM, et al. Epidemiología e impacto de la otitis media aguda en la comunidad Valenciana. An Pediatr Barc. 2004;60(2):125-32.

  7. Dubey SP, Larawin V. Complications of chronic suppurative otitis media and their management. Laryngoscope. 2007;117(2):264-7.

  8. Olszewska E, Sudhoff H. Comparative cytokeratin distribution patterns in cholesteatoma epithelium. Histol Histopathol. 2007;22:37-42.

  9. Jiménez I, Hernández-Sampelayo MT. Complicaciones de la otitis media. An Pediatr, Monogr. 2003;1(1):13-23.

  10. Smith JA, Danner CJ. Complications of Chronic Otitis Media and Cholesteatoma. Otolaryngol Clin North Am. 2006;39(6):1237-55.

  11. Pelegrini S, González ME, Sommerfleck PA, Bernáldez PC. Diecisiete casos de complicaciones intratemporales de otitis media aguda en niños en dos años. Acta Otorrinolaringol Esp. 2012;63(1):21-5.

  12. De Foer B, Vercruysse JP, Pouillon M, Somers T, Casselman JW, Offeciers E. Value of high-resolution computed tomography and magnetic resonance imaging in the detection of residual cholesteatomas in primary bony obliterated mastoids. Am J Otolaryngol. 2007;28(4):230-4.

  13. Park MH, Rah YC, Kim YH, Kim JH. Usefulness of computed tomography Hounsfield unit density in preoperative detection of cholesteatoma in mastoid ad antrum. Am J Otolaryngol-Head Neck Med Surg. 2011;32(3):194-7.

  14. Hoberman A, Paradise Jl, Rockette HE, Shaikh N, Wald ER, Kearney DH, et al. Treatment of Acute Otitis Media in Children under 2 Years of Age. N Engl Med. 2011;364:105-15.

  15. Bluestone CD, Klein JO. Otitis media en lactantes y niños. 2da. ed. Buenos Aires: Panamericana; 2000. p. 243-304.

  16. Zernotti ME, Casarotto C, Tosello ML, Zernotti M. Incidencia de complicaciones de otitis media. Acta Otorrinolaringol Esp. 2005;56:59-62.

  17. Madana J, Yolmo D, Kalaiarasi R, Gopalakrishnan S, Sujatha S. Microbiological profile with antibiotic sensitivity pattern of cholesteatomatous chronic suppurative otitis media among children. Int J Pediatr Otorhinolaryngol. 2011;75(9):1104-8.

  18. El-Kashlan HK, Harker LA, Shelton C, Aygun N, Niparko JK. Otology, Neuro-otology, and Skull Base Surgery. Middle Ear, Mastoid, and Temporal Bone. Complications of Temporal Bone Infections. In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Richardson MA, Robbins KT, et al. Cummings Otolaryngology-head and Neck Surgery. 5th ed. Philadelphia: Mosby; 2010. p. 1979-98.

  19. Quintero-Noa JL, García-Martínez DA, Hernández-Cordero MC, Valls-Pérez O. Colesteatoma asociado a secuencia de labio y paladar hendidos. Rev Cubana Pediatr [serie en Internet]. 2008 Jun [citado 20 de junio de 2012];80(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312008000200013&lng=es&nrm=iso&tlng=es

  20. Quintero-Noa JL, Álvarez-Lam I, Hernández-Cordero MC, Carrillo- Valdés B, Yepe-Oliveros M, Cordero-López G. Manejo clínico quirúrgico de la otitis media crónica colesteatomatosa en el niño. Rev Cubana Pediatr [serie en Internet]. 2007 Dic [citado 8 de junio de 2012];79(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312007000400001&lng=es&nrm=iso&tlng=es

  21. Alves AL, Pereira CS, Ribeiro FA, Fregnani JH. Analysis of histopathological aspects in acquired middle ear cholesteatoma. Braz J Otorhinolaryngol. 2008;74:835-41.

  22. Hilton CW, Ondrey FG, Wuertz BR, Levine SC. Interleukin-8 Production in Response to Tumor Necrosis Factor-Alpha by Cholesteatoma Keratinocytes in Cell Culture. Laryngoscope. 2011;121:372-4.

  23. Depreux FS, Darrow K, Conner DA, Eavey RD, Liberman MC, Seidman CE, et al. Eya 4-deficient mice are a model for heritable otitis media. J Clin Investigation. 2008;118:651-8.

  24. James AL, Chadha NK, Papsin BC, Stockley TL. Pediatric Cholesteatoma and Variants in the Gene Encoding Connexin 26. Laryngoscope. 2010;120:183-7.

  25. Quintero-Noa JL, Macias-Abraham C, Hernández-Cordero MC, Meléndez-Quintero LL. Etiología del colesteatoma ótico. Rev Cubana Pediatr [serie en Internet]. 2011 Dic [citado 8 de junio de 2012];83(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034 -75312011000400007&lng=es&nrm=iso&tlng=es

  26. Álvarez-Lam I, Quintero-Noa J, Villavicencio-Cordovés E, Ponce-Bittar J, Tamargo-Martínez I, Quiñones-Pérez D, et al. Caracterización clínico-epidemiológica de la otitis media aguda en pacientes pediátricos. Rev Cubana Pediatr [serie en Internet]. 2011 Sep [citado 20 de junio de 2012];83(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312011000300006&lng=es&nrm=iso&tlng=es

  27. Klein JO. Is Acute Otitis Media a Treatable disease? N Engl J Med. 2011;364(2):168-9.

  28. Yung M, Jacobsen NL, Vowler SL. A 5-years observational study of the outcome in pediatric cholesteatoma surgery. Otol Neurotol. 2007;28(8):1038-40.

  29. Mostafa BE, El Fiky LM, El Sharnouby MM. Complications of suppurative otitis media: still a problem in the 21st century. ORL J Otorhinolaryngol Relat Spec. 2009;71(2):87-92.

  30. Royer M, Stott C, Paz M. Parálisis facial en otitis media: Revisión bibliográfica. Otorrinolaringol Cir Cabeza Cuello. 2007;67:225-63.

  31. Quintero JL, Paz A, Hernández MC, Yepe M, Cordero G, Meléndez P. Descompresión del nervio facial en la otitis media crónica colesteatomatosa complicada. Rev Habanera Ciencias Médicas [serie en Internet]. 2005 ene-mar [citado 25 de enero de 2012];4(12). Disponible en: http://bvs.sld.cu/revistas/rhab/articulorev12/julianis.htm

  32. Guedes V, Gallegos P, Ferrero A, García M, Casanovas A, Georgetti B, et al. Síndrome de Gradenigo: comunicación de un caso. Arch Argent Pediatr. 2010;108(3):74-5.

  33. Hafidh MA, Keogh I, Walsh RM, Rawluk D. Otogenic Intracranial Complication. A 7-year retrospective review. Am J Otolaryngol. 2006;27(6):390-5.

  34. Fernández-Viladrich PF, Cabellos C, Navas E, Martinez-Lacasa J, Gatell JH. Protocolo II. Infecciones del sistema nervioso central. Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica [homepage en Internet]. Hospital Bellvitge, Barcelona [citado 10 de mayo de 2012]. Disponible en: http://www.seimc.org/documentos/protocolos/clinicos/proto2.htm

  35. O'Connor TE, Perry CF, Lannigan FJ. Complications of otitis media in Indigenous and non-Indigenous children. Med J Aust. 2009;191(9 Suppl):S60-4.

  36. Wanna GB, Dharamsi LM, Moss JR, Bennett ML, Thompson RC, Haynes DS. Contemporary management of intracranial complications of otitis media. Otol Neurotol. 2010;31(1):111-7.

  37. Rubin LG. Prevention and Treatment of Meningitis and Acute Otitis Media in Children with Cochlear Implants. Otology Neurology. 2010;31:1331-3.

  38. Alonso-Ojembarrena A, Amigo C, Martínez-Pérez J, Rubio de Villanueva JL. Trombosis del seno sigmoide tras una otitis media. An Pediatr Barc. 2006;65(5):500-10.

  39. Ernil J, Lee Y. The Empty Delta Sign. Radiology. 2002;224(3):788-9.

  40. Matar NE, Rassi SJ, Melkane AE, Haddad AC. Lateral sinus thrombosis in the pediatric population: multiple presentations for a potentially lethal disease. Pediatr Emerg Care. 2009;25(10):681-3.

  41. Viswanatha B. Otitic hydrocephalus: a report of 2 cases. Ear Nose Throat J. 2010;89(7):34-7.

  42. Hernández-Cordero MC, Quintero-Noa JL, Valls- Pérez O, Alvarez-Lam I. Importancia de la evaluación clínico-imaginológica en el diagnóstico del colesteatoma: presentación de dos casos. Rev Cubana Pediatr [serie en Internet]. 2008 Mar [citado 20 de junio de 2012];80(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312008000100011&lng=es&nrm=iso&tlng=es

  43. Quintero-Noa JL, Más-García MN, Morera-Barrios LM. El consentimiento informado en pacientes pediátricos con indicación de otocirugía por colesteatoma. Rev Habanera Ciencias Médicas [serie en Internet]. Ene-Mar, 2007 [citado 7 de junio de 2012];6(1). Disponible en: http://scielo.sld.cu/ scielo.php?script=sci_arttext&pid=S1729-519X2007000100012&lng=es&nrm=iso&tlng=es

  44. Szyfter W, Kruk-Zagajewska A, Borucki L. Results of treatment of 101 otogenic brain abscesses-56-years experience. Otolaryngol Pol. 2011;65(2):88-96.

  45. Vikram B. Cerebrospinal fluid otorrhea presenting in complicated chronic suppurative otitis media. Ear Nose Throat J. 2007;86(4):223-5.




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