Pfaltz C R
ORL J Otorhinolaryngol Relat Spec. 1982;44(6):301-9. doi: 10.1159/000275609.
Although intracranial otogenic complications occur less frequently than in the preantibiotic period, their mortality rate is still relatively high. On the basis of some personal clinical observations made during the last decade attention has been drawn to the most common intra- and extracranial otogenic complications (posterior fossa syndrome, labyrinthine fistula, labyrinthitis, facial palsy) mostly due to cholesteatoma, and a less frequent intracranial complication occurring mainly in children (otitic hydrocephalus) caused by chronic otitis media. It may therefore be concluded that otitis media must still be considered a dangerous disease, necessitating early diagnosis, intensive therapy and in case of a cholesteatoma complete and early eradication.
尽管颅内耳源性并发症的发生率比抗生素应用前的时期有所降低，但其死亡率仍然相对较高。基于过去十年间的一些个人临床观察，人们已将注意力集中在最常见的颅内和颅外耳源性并发症（后颅窝综合征、迷路瘘管、迷路炎、面神经麻痹）上，这些并发症大多由胆脂瘤引起，还有一种较少见的主要发生于儿童的颅内并发症（耳源性脑积水），由慢性中耳炎所致。因此可以得出结论，中耳炎仍必须被视为一种危险疾病，需要早期诊断、强化治疗，若存在胆脂瘤，则需尽早彻底根除。
