Suppurative labyrinthitis associated with otitis media: 26 years' experience
| Autor: | Valeria Romero Godofredo, Norma de Oliveira Penido, André Souza de Albuquerque Maranhão |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Mastoiditis Magnetic Resonance Spectroscopy Adolescent Hearing loss Otite média Labirintite Otitis Media Suppurative Cohort Studies 03 medical and health sciences Labyrinthitis Young Adult 0302 clinical medicine medicine otorhinolaryngologic diseases Humans Perda auditiva 030223 otorhinolaryngology Child Hearing Loss Otitis media Aged Retrospective Studies business.industry Cholesteatoma Middle Aged medicine.disease lcsh:Otorhinolaryngology lcsh:RF1-547 Facial paralysis Surgery Otitis Otorhinolaryngology Chronic Disease Female sense organs medicine.symptom business Tomography X-Ray Computed Labyrinthine fistula Meningitis 030217 neurology & neurosurgery |
| Zdroj: | Brazilian Journal of Otorhinolaryngology, Vol 82, Iss 1, Pp 82-87 (2016) Brazilian Journal of Otorhinolaryngology v.82 n.1 2016 Brazilian Journal of Otorhinolaryngology Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF) instacron:ABORL-CCF |
| ISSN: | 1808-8686 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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