Suppurative labyrinthitis associated with otitis media: 26 years' experience

Suppurative labyrinthitis associated with otitis media: 26 years' experience

Title: Suppurative labyrinthitis associated with otitis media: 26 years' experience;
Labirintite associada à otite média: experiência de 26 anos
Author Maranhão, André Souza de Albuquerque Autor UNIFESP Google Scholar
Godofredo, Valeria Romero Autor UNIFESP Google Scholar
Penido, Norma de Oliveira Autor UNIFESP Google Scholar
Abstract Introduction: Suppurative labyrinthitis continues to result in significant hearing impairment, despite scientific efforts to improve not only its diagnosis but also its treatment. The definitive diagnosis depends on imaging of the inner ear, but it is usually clinically presumed. Objective: To analyze the clinical factors and hearing outcomes in patients with labyrinthitis secondary to middle ear infections and to discuss findings based on imaging test results. Methods: Retrospective cohort study, based on the charts of patients admitted with middle ear infection-associated labyrinthitis. Results: We identified 14 patients, eight (57%) of whom were females and six (43%) males. Mean age was 40 years. Cholesteatomatous chronic otitis media was diagnosed in six patients (43%), acute suppurative otitis media in six (43%), and chronic otitis media without cholesteatoma was diagnosed in two patients (14%). Besides labyrinthitis, 24 concomitant complications were identified: six cases (25%) of labyrinthine fistula, five cases (21%) of meningitis, five cases (21%) of facial paralysis, five cases (21%) of mastoiditis, two cases (8%) of cerebellar abscess, and one case (4%) of temporal abscess. There was one death. Eight (57%) individuals became deaf, while six (43%) acquired mixed hearing loss. Conclusion: Suppurative labyrinthitis was often associated with other complications

MRI played a role in the definitive diagnosis in the acute phase

the hearing sequel of labyrinthitis was significant. (C) 2015 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda. All rights reserved.
Keywords Otitis Media
Labyrinthitis
Hearing LossSensorineural Hearing-Loss
Intracranial Complications
Wegeners-Granulomatosis
Manifestations
Language English
Date 2016
Published in Brazilian Journal Of Otorhinolaryngology. Sao paulo, v. 82, n. 1, p. 82-87, 2016.
ISSN 1808-8694 (Sherpa/Romeo, impact factor)
Publisher Assoc brasileira otorrinolaringologia & cirurgia cervicofacial
Extent 82-87
Origin http://dx.doi.org/10.1016/j.bjorl.2014.12.012
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000371652200013
SciELO ID S1808-86942016000100082 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/49588

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