Navegando por Palavras-chave "suppurative otitis media"

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    Epidemiology of Intratemporal Complications of Otitis Media
    (Fundação Otorrinolaringologia, 2014-04-01) Maranhão, André Souza de Albuquerque [UNIFESP]; Andrade, José Santos Cruz de [UNIFESP]; Godofredo, Valéria [UNIFESP]; Matos, Rafaela [UNIFESP]; Penido, Norma de Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    IntroductionDespite the advent of antibiotics and immunizations in the last century, complications of otitis media remain quite frequent, have high morbidity and mortality rates, and pose a challenge to the otorhinolaryngologist. ObjectiveTo establish the annual incidence of intratemporal complications of otitis media and prospectively evaluate patients via an analysis of epidemiologic and clinical aspects. MethodProspective, observational study. Between February 2010 and January 2011, patients admitted to a tertiary care, university-based otology practice with diagnosis of otitis media and an associated intratemporal complication (ITC) were included in the study. The following data were evaluated: age, sex, type of ITC, treatment, imaging tests findings, type and degree of hearing loss, and clinical outcome. The overall incidence of all complications and of each complication individually was determined. ResultA total of 1,816 patients were diagnosed with otitis media. For 592 (33%) individuals, the diagnosis was chronic otitis media; for 1,224 (67%), the diagnosis was acute otitis media. ITCs of otitis media were diagnosed in 15 patients; thus, the annual incidence of intratemporal complications was 0.8%. We identified 19 ITC diagnoses in 15 patients (3 patients had more than one diagnosis). Labyrinthine fistulae were diagnosed in 7 (36.8%) individuals, mastoiditis in 5 (26.3%), facial palsy in 4 (21.1%), and labyrinthitis in 3 (15.8%). ConclusionThe incidence of intratemporal complications in Brazil remains significant when compared with developed countries. Chronic otitis media with cholesteatoma is the most frequent etiology of intratemporal complications. Labyrinthine fistula is the most common intratemporal complication.
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    Estudo comparativo entre achados radiológicos e cirúrgicos na otite média crônica
    (Fundação Otorrinolaringologia, 2011-03-01) Prata, Anelise Abrahao Salge; Antunes, Marcos Luiz [UNIFESP]; Abreu, Carlos Eduardo Cesario De [UNIFESP]; Frazatto, Ricardo [UNIFESP]; Lima, Bruno Thieme [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); faculdade de medicina do ABC; Hospital Estadual de Diadema
    INTRODUCTION: The chronic otitis media (COM) is a prevalent disease and the most frequent cause of indication to mastoidectomy. Many studies have evaluated the use of tomography (CT) of temporal bones for preoperative evaluation of COM and its indication in the preoperative approach is still controversial nowadays. OBJECTIVE: To evaluate the sensitivity of the clinical and radiological findings of COM according to the intraoperative surgical results and histopathological findings. METHOD: Transversal retrospective study through collection of record data of patients with COM submitted to mastoidectomy in the period from 2007 through 2008 in our service. RESULTS: From a total of 82 ears, 40.24% had cholesteatoma. The CT presented 72.73% of sensitivity in the identification of cholesteatoma, 56.67% in the identification of changes to the ossicular chain and 100% in that of erosion of the lateral semicircular canal. CONCLUSION: The clinical and radiological findings showed a high level sensitivity with intraoperative findings as regards to the presence of cholesteatoma, large changes of the ossicular chain and erosion of the lateral semicircular canal. For minor changes to the ossicular chain, the facial nerve canal and the tympanic tegmen they described low sensitivity.