S. Devi Prasad1, V. Chandra Sekhar2, G. Sreenivas3, V. R. Tagore4, S. B. Amarnath5, G. Priyanka6
OBJECTIVES: The Objective is to study the risk of extra-cranial complications in cases of CSOM and to study the common extra-cranial complications of CSOM with respect to age, sex and socio-economic status.
METHODS: The present study comprises of 60 patients with extra-cranial complications secondary to Chronic Suppurative Otitis media who attended to the Dept. of E. N. T Srivenkateswara Government General Hospital, Tirupathi. An analysis was made regarding the demographic profile, clinical features, surgical techniques, operative findings, and the outcome of the study.
RESULTS: In this study of 60 cases, the most common extracranial complication of CSOM is Postauralabscess. These extra cranial complications are associated with 15% of intracranial complications of which Meningitis is most common. The complications are more commonly seen in the younger population in second to third decades of life with Male predominance. The duration of ear discharge is not associated with the increasing number of complications. Cholesteatoma is commonly responsible for the development of Extracranial complications of CSOM. Pseudomonas aeruginosa is the commonest organism found in the complications. Canal wall down surgery is the main mode of treatment in this category of patients. The Facial canal dehiscence is associated with a poor outcome in the cases of Facial nerve paralysis.
CONCLUSION: The extra-cranial complications of CSOM pose a great challenge to the Developing countries despite its declining incidence. It is in this situation that early diagnosis and prompt surgical intervention are most important for the decreased morbidity and mortality of patients.