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Vol. 56. Issue 2.
Pages 59-62 (February 2005)
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Vol. 56. Issue 2.
Pages 59-62 (February 2005)
Incidencia de complicaciones de otitis media
Incidence of complications of otitis media
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M.E. Zernottia
Corresponding author
mzernotti@intramed.net.ar
mzernotti@sanatorioallende.com

Mario Emilio Zernotti. Servicio de Otorrinolaringología Sanatorio Allende de Córdoba. Argentina
, C. Casarotto, M.L. Tosello, M. Zernotti
Servicio de Otorrinolaringología. Sanatorio Allende. Córdoba. Argentina
Article information
Resumen
Objetivos

Determinar la incidencia de complicaciones otológicas e intracraneales por otitis media, evaluando la repercusión del tratamiento instaurado previamente y la evolución de las mismas

Material y métodos

Trabajo retrospectivo realizado durante el período de marzo de 1996 a marzo de 2003. Se incluyeron 16 pacientes (9 hombres y 7 mujeres)

Resultados

Del total de pacientes, 9 (56,25%) tuvieron complicaciones intracraneales y 7 complicaciones otológicas. Entre las primeras, hubo 6 casos de meningitis por Streptococcus pneumoniae, un caso de tromboflebitis del seno sigmoideo con absceso cerebral, un caso con múltiples abscesos cerebrales y uno con empiema subdural y encefalitis. Entre las complicaciones otológicas, 6 pacientes sufrieron mastoiditis aguda y un caso parálisis facial recurrente. El niño con abscesos cerebrales fue tratado quirúrgicamente; al paciente con tromboflebitis se le realizó mastoidectomía con ligadura del seno sigmoideo. Cinco de las mastoiditis fueron operadas y la restante fue tratada conservadoramente. Las meningitis se trataron médicamente. Hubo dos fallecimientos, uno por empiema subdural y otro por meningitis

Conclusión

A pesar de los progresos en la antibioticoterapia y de los métodos de diagnóstico, las complicaciones de otitis medias son aún frecuentes, por lo cual deben estar siempre en el pensamiento del médico pediatra y otorrinolaringólogo, además de tener presente el neumococo y su alta resistencia

Palabras clave:
Complicaciones
Otitis media
Endocraneales
Streptococcus pneumoniae
Abstract
Objetive

Determine the incidence of othologycal and endocraneal complications of acute otitis media, taking into account previous treatments and the development of complications

Material and Methods

Retrospective follow-up study between March 1996-2003 including 16 patients: 9 men, 7 women

Results

Nine patients (56.25%) had intracraneal complications and seven othologycal ones. In the first group, 6 developed meningitis by Streptococcus pneumoniae, one sigmoid sinus tromboflebitis, one multiples abscesses, and one subdural empiema and encephalitis. Othologycal complications were six acute mastoiditis and the other one a facial paralysis. The child with tromboflebitis underwent mastoidectomy and closed meningeal comunication; 5 of the acute mastoiditis were operated on and the other received traditional treatment. The meningitis received medication. Two died, one because of a subdural empiema and the other due to meningitis

Conclusion

Despite the advances made by antibiotherapy and diagnosis, the complications of otitis media are still frequent. The pediatrician and otorhinolaryngologist should be on the alert for these as well as for Pneumococcus and its high resistance

Key words:
Complications
Otitis media
Intracraneal
Streptococcus pneumoniae

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