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研究慢性化脓性中耳炎颅外及颅内并发症的患病率。

To Study the Prevelance of Extracranial & Intracranial Complications in Chronic Suppurative Otitis Media.

作者信息

Verma Priyanka, Gargava Aditya, Saxena Smiriti, Narvey V P

机构信息

Department of ENT, G.R Govt Medical College, Gwalior, M.P. India.

Department of ENT, ABV Govt Medical College, Vidisha, M.P. India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):608-611. doi: 10.1007/s12070-021-02423-0. Epub 2021 Feb 11.

Abstract

Prior to antibiotic era, complications rate of CSOM was 2.3 to 4% cases. With advent of newer antibiotics, radiological surgical techniques the complication greatly reduced to 0.15-0.04% and mortality decreases from 25 to 8% 5, still early diagnoses and management is still the cornerstone of prevention of CSOM complications. To study the prevalence of extracranial and intracranial complications in CSOM. It is a prospective cross sectional study done in one year from January 2018 to January 2019, at Department of ENT, G R Medical College, Gwalior, M P, India. In our study 50 patients presented with complications of CSOM during January 2018 to January 2019, ECC was found more common than ICC ECC-52%, ICC-46%, mastoid abscess was found most commonly in ECC 50%, brain abscess was the most common found intracranial complication of CSOM. Continuous negligence of CSOM leads to various extracranial complications lethal intracranial complications like brain abscess, meningitis, etc. hence it is recommended that health education program should be provided as prevalence is still higher in younger age group and low socioeconomic class especially in rural and tribal regions. In spite of newer antibiotics, radiological modalities and surgical advancement.

摘要

在抗生素时代之前,慢性化脓性中耳炎(CSOM)的并发症发生率为2.3%至4%。随着新型抗生素、放射外科技术的出现,并发症发生率大幅降至0.15%至0.04%,死亡率从25%降至8% 5,但早期诊断和治疗仍然是预防CSOM并发症的基石。为研究CSOM颅外和颅内并发症的患病率。这是一项前瞻性横断面研究,于2018年1月至2019年1月在印度中央邦瓜廖尔市GR医学院耳鼻喉科进行,为期一年。在我们的研究中,2018年1月至2019年1月期间有50例患者出现CSOM并发症,发现颅外并发症(ECC)比颅内并发症(ICC)更常见,ECC为52%,ICC为46%,乳突脓肿在ECC中最常见,为50%,脑脓肿是CSOM最常见的颅内并发症。对CSOM的持续忽视会导致各种颅外并发症以及诸如脑脓肿、脑膜炎等致命的颅内并发症,因此建议开展健康教育项目,因为在年轻年龄组和低社会经济阶层中,尤其是在农村和部落地区,患病率仍然较高。尽管有新型抗生素、放射检查手段和外科手术的进步。

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