Abstract
• The most common extracranial complications of chronic otitis media (COM) are labyrinthitis and facial nerve paralysis.
• Labyrinthitis associated with COM occurs through fistulization of the otic capsule or invasion through the oval and round windows.
• Removal of cholesteatoma membrane from the endosteal membrane is recommended.
• Repair of oval or round window defects with soft tissue is an effective technique to preserve labyrinth function.
• Facial nerve paralysis in COM requires early surgery to remove chronic disease and preserve facial function.
• Intracranial complications from COM include meningitis, brain abscess, epidural/ subdural abscess, and sigmoid sinus thrombophlebitis.
• Meningitis and brain abscess from COM may occur through a preformed pathway or by retrograde thrombophlebitis.
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References
Abramson M (1969) Collagenolytic activity in middle ear cholesteatoma. Ann Otol Rhinol Laryngol 78:112–124
Gacek R (1974) The surgical management of labyrinthine fistulae in chronic otitis media with cholesteatoma. Ann Otol Rhinol Laryngol 83:(Suppl):1–19
Gacek RR (1993) Surgery of the vestibular system. In: Cummings C, Schuller DE (eds) Otolaryngology—head and neck surgery. Mosby, St. Louis, pp 3199–3216
Gacek RR (1990) Arachnoid granulation cerebrospinal otorrhea. Ann Otol Rhinol Laryngol 99:854–862
Glasscock ME III, Shambaugh GE Jr (1990) Intracranial complications of otitis media. In: Glasscock ME III, Shambaugh GE Jr (eds) Surgery of the ear, 4th edn. Saunders, Philadelphia, pp 249–275
Ludman H (1987) Complications of suppurative otitis media. In: Kerr AG (ed) Scott-Brown’s otolaryngology, 5th edn. Butterworth, London, pp 264–291
Macchi PJ, Grossman RI, Gomori JM, Goldberg HI, Zimmerman RA, Bilaniuk LT (1986) High-field MR imaging of cerebral venous thrombosis. J Comp Assist Tomogr 10:10–15
McArdle CB, Mirfakhraee M, Amparo EG, Kulkarni MV (1987) MR imaging of transverse/sigmoid dural sinus and jugular vein thrombosis. J Comp Assist Tomogr 11:831–838
McCabe BF (1984) Labyrinthine fistula in chronic mastoiditis. Ann Otol Rhinol Laryngol 93:(Suppl):138–141
McMurdo SK Jr, Brant-Zawadzki M, Bradley WG Jr, Chang GY, Berg BO (1986) Dural sinus thrombosis: study using intermediate field strength MR imagining. Radiology 161:83–86
Neely JG (1986) Complications of temporal bone infection. In: Cummings C, Schuller DE (eds) Otolaryngology—head and neck surgery. Mosby, St. Louis, pp 2988–3015
Paparella MM, Sugiura S (1967) The pathology of suppurative labyrinthitis. Ann Otol Rhinol Laryngol 76:554–586
Quijano M, Schuknecht HF (1988) Temporal bone pathology associated with intracranial abscess. ORL 50:2–31
Schuknecht HF (1974) Pathology of the ear. Harvard University Press Cambridge, Mass.
Schuknecht HF (1970), Montandon P. Pathology of the ear in pneumococcal meningitis. Arch Klin Exp Ohr Nas Kehlkheilk 195:207–225
Snow JB (1989) Cranial and intracranial complications of otitis media. In: English GM (ed) Otolaryngology. Lippincott, Philadelphia
Southwick FS, Richardson EP Jr, Swartz MN (1986) Septic thrombosis of the dural venous sinuses. Medicine 65:82–106
Teichgraeber JF, Per-Lee JH, Turner JS Jr (1982) Lateral sinus thrombosis: a modern perspective. Laryngoscope 92:744–751
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(2008). Complications of Chronic Otitis Media. In: Ear Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77412-9_4
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DOI: https://doi.org/10.1007/978-3-540-77412-9_4
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