Shamboul K M
Faculty of Medicine, Omdurman University, Sudan.
J Laryngol Otol. 1992 Oct;106(10):874-7. doi: 10.1017/s0022215100121164.
The complications of chronic suppurative otitis media as seen in 117 patients are presented. Fifty per cent of the patients had cholesteatoma, and 28 per cent revealed complications. Two-thirds of these complications, especially the serious intracranial ones, were encountered in young females. This female predominance was attributed to late presentation because of social reasons, or to undue susceptibility to the destructive effect of cholesteatoma. Radical and modified radical operations were recommended to render the ears safe, as most of the patients came from distant rural areas and were judged to have poor compliance to report for regular checks.
本文介绍了117例慢性化脓性中耳炎患者出现的并发症。50%的患者患有胆脂瘤,28%出现了并发症。这些并发症中有三分之二,尤其是严重的颅内并发症,多见于年轻女性。女性居多的原因是出于社会原因就诊较晚,或者是对胆脂瘤的破坏作用过度敏感。由于大多数患者来自偏远农村地区,且被认为定期复诊的依从性较差,因此建议进行根治性和改良根治性手术以确保耳部安全。