Akinpelu O V, Amusa Y B, Komolafe E O, Adeolu A A, Oladele A O, Ameye S A
Department of Surgery, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
J Laryngol Otol. 2008 Jan;122(1):16-20. doi: 10.1017/S0022215107008377. Epub 2007 May 22.
In developing countries, the rate of complications from chronic suppurative otitis media is still high, due to factors associated with poverty. This study aimed to determine the prevalence of chronic suppurative otitis media and associated complications.
We prospectively studied all patients presenting with chronic suppurative otitis media to the ear, nose and throat unit of the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, over a two-year period.
One hundred and sixty new cases of chronic suppurative otitis media were seen. These constituted 11.1 per cent of all new cases and 21.5 per cent of all otological cases seen. About half (51.7 per cent) of these patients were younger than 15 years. Most patients were from rural areas and had been previously managed by unlicensed, untrained practitioners. Complications were mostly seen in children. Intracranial complications were seen in 10 (6.3 per cent) cases; this was associated with a high mortality rate.
This study found that, in Nigeria, a developing country, 'safe' chronic suppurative otitis media was not without serious problems. Provision of adequate health facilities may reduce such problems.
在发展中国家，由于与贫困相关的因素，慢性化脓性中耳炎的并发症发生率仍然很高。本研究旨在确定慢性化脓性中耳炎的患病率及相关并发症。
我们对尼日利亚伊费奥巴费米·阿沃洛沃大学教学医院综合院区耳鼻喉科在两年期间接诊的所有慢性化脓性中耳炎患者进行了前瞻性研究。
共诊治了160例慢性化脓性中耳炎新病例。这些病例占所有新病例的11.1%，占所有耳科病例的21.5%。这些患者中约一半（51.7%）年龄小于15岁。大多数患者来自农村地区，此前由无执照、未受过培训的从业者诊治。并发症多见于儿童。颅内并发症见于10例（6.3%）；这与高死亡率相关。
本研究发现，在发展中国家尼日利亚，“安全的”慢性化脓性中耳炎并非没有严重问题。提供充足的医疗设施可能会减少此类问题。
