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No5-6(3) 2020

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DOI 10.37219/2528-8253-2020-6-90
Pochueva T.V., Chuvakov V.V., Merkulov A.Yu., Romanenko B.Yu., Somov S.O.
Acute nonsuppurative otitis media as a marker for detecting the latent course of multiple extradural abscesses
Pochueva T.V.
Kharkiv Medical Academy of Postgraduate Education;
Non-profit communal company “City Clinical Hospital No. 30” of the Kharkiv City Council
Non-profit communal company “Kharkiv City Clinical Hospital of Emergency Medical Care”
Kharkiv City Council
e-mail: pochuevatv@ukr.net

Chuvakov V.V.
Kharkiv Medical Academy of Postgraduate Education;
Non-profit communal company “City Clinical Hospital No. 30” of the Kharkiv City Council
Non-profit communal company “Kharkiv City Clinical Hospital of Emergency Medical Care”

Merkulov A.Yu.
Kharkiv Medical Academy of Postgraduate Education;
Non-profit communal company “City Clinical Hospital No. 30” of the Kharkiv City Council
Non-profit communal company “Kharkiv City Clinical Hospital of Emergency Medical Care”

Romanenko B.Yu.
Kharkiv Medical Academy of Postgraduate Education;
Non-profit communal company “City Clinical Hospital No. 30” of the Kharkiv City Council
Non-profit communal company “Kharkiv City Clinical Hospital of Emergency Medical Care”

Somov S.O.
Kharkiv Medical Academy of Postgraduate Education;
Non-profit communal company “City Clinical Hospital No. 30” of the Kharkiv City Council
Non-profit communal company “Kharkiv City Clinical Hospital of Emergency Medical Care”

Abstract

The topic of the current article demonstrates, on one hand, the global trend of prevalence in the aetiology and pathogenesis of purulent intracranial complications of acute otitis media over chronic, yet on the other hand, emphasizes the possibility of a combined not related course of inflammatory changes in the middle ear cavities and in the brain. A rare case is described with contact mastoiditis combined with destruction of bone structures adjacent to the cranial cavity was secondary to multiple, huge, long-lasting, latent epidural abscesses. And only the appearance of symptoms, even not so much of acute otitis media, but rather tubootitis, became the only sign of manifestation and, with timely and adequate treatment, led to recovery.

Keywords

acute non-suppurative otitis media, mastoiditis, epidural abscess.


Reference

  1. Mitin YuV, Vlasyuk AN. [Interaction of otorhinolaryngologists and neurosurgeons in the treatment of patients with otogenic and otorhinogenic abscesses of the cerebral hemispheres and cerebellum]. Materials of the conference “Topical issues of ear microsurgery and diseases of the upper respiratory tract”. Kiev, 1997;65-6. [Article in Ukrainian].
  2. Zinserling VA, Chukhlovina ML. [Infectious lesions of the nervous system: issues of etiology, pathogenesis, diagnosis]. St. Petersburg: ELBI, 2005.448 p. [Article in Russian].
  3. Mostafa BE, El Fiky LM, El Sharnouby MM. Complications of suppurative otitis media: still a problem in the 21st century. ORL J Otorhinolaryngol Relat Spec. 2009;71(2):87-92. doi: 10.1159/000191472.
  4. Kvжrner KJ, Kristiansen HA, Russell MB. Otitis media history, surgery and allergy in 60-year perspective: a population-based study. Int J Pediatr Otorhinolaryngol. 2010 Dec;74(12):1356-60. doi: 10.1016/j.ijporl.2010.09.002.
  5. Buslavsky MS, Vdovychenko AV. [Otogenic purulent meningitis in a patient with non-perforated otitis media]. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 1990;(5):61-2. [Article in Russian].
  6. Muratov NI, Voronkin VF, Zingilevskaya NG. [Leptomeningitis and multiple brain abscesses in acute otitis media]. Vestn Otorinolaringol. 1990;(5):79-80. [Article in Russian].
  7. Go C, Bernstein JM, de Jong AL, Sulek M, Friedman EM. Intracranial complications of acute mastoiditis. Int J Pediatr Otorhinolaryngol. 2000 Apr 15;52(2):143-8. doi: 10.1016/s0165-5876(00)00283-4.
  8. Leskinen K, Jero J. Acute complications of otitis media in adults. Clin Otolaryngol. 2005 Dec;30(6):511-6.
    doi: 10.1111/j.1749-4486.2005.01085.x
  9. Wьstenberg EG, Knothe J, Kittner T, Zahnert T. [Endocranial complications in otitis media: what you need to remember]. MMW Fortschr Med. 2005 Mar 24;147(12):52, 54-5. [Article in German].
  10. Wanna GB, Dharamsi LM, Moss JR, Bennett ML, Thompson RC, Haynes DS. Contemporary management of intracranial complications of otitis. Otol Neurotol. 2010 Jan;31(1):111-7. doi: 10.1097/MAO.0b013e3181c2a0a8.
  11. Voronkin VF, Sergeev MM. [Intracranial complications in otorhinolaryngology]. Novosti otorinolaringologii i logopatologii. 2000; 23(3):25-36. [Article in Russian].
  12. Pochueva TV. [Substantiation of a differential approach to the diagnosis and treatment of otogenic intracranial complications in acute inflammation of the middle ear]. Problems of uninterrupted medical training and science.
    2005;(1);33-7. [Article in Ukrainian].
  13. Kaftan H, Draf W. [Intracranial otogenic complications: inspite of therapeutic progress still a serious problem]. Laryngorhinootologie. 2000 Oct;79(10):609-15. doi: 10.1055/s-2000-7682. [Article in German].
  14. de Oliveira Penido N, Borin A, Iha LC, Suguri VM, Onishi E, Fukuda Y, Cruz OL. Intracranial complications of otitis media. Otolaryngol Head Neck Surg. 2005 Jan;132(1):37-42. doi: 10.1016/j.otohns.2004.08.007.
  15. Nikolaev MP, Borzov AV, Nikolaev RM. [On causal relationships in the combination of purulent intracranial processes with diseases of the ENT organs]. Vestn Otorinolaringol. 2001;(3):40-1. [Article in Russian].
  16. Nikolaev MP. Borzov AV. [On the modern tactics of urgent medical and diagnostic measures in the combination of intracranial and ENT pathology]. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 2006;(3-с):51-2. [Article in Russian].
  17. Zaitsev AV. [On the choice of treatment tactics for otogenic intracranial complications]. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 2006;(3-с):30. [Article in Russian].
  18. Turgut S, Ercan I, Alkan Z, Cakir B. A case of pneumocephalus and meningitis as a complication of silent otitis media. Ear Nose Throat J. 2004 Jan;83(1):50-2.
  19. Pochueva TV. [Acute non-suppurative otitis media and purulent meningitis – concomitant or otogenic pathology?]. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 2006;(3):7-14. [Article in Ukrainian].
  20. Pochueva TV. [New possibilities in the surgical treatment of purulent intracranial complications in acute inflammation of the middle ear]. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 2008;(1):31-8. [Article in Ukrainian].
  21. Emir H, Kaptan ZK, Gцзmen H, Samim E. [Epidural abscess and encephalocele following tegmen defect due to mastoidectomy: a case report]. Kulak Burun Bogaz Ihtis Derg. May-Jun 2009;19(3):151-4. [Article in Turkish].
  22. Isaacson B, Mirabal C, Kutz JW Jr, Lee KH, Roland PS. Pediatric otogenic intracranial abscesses. Otolaryngol Head Neck Surg. 2010 Mar;142(3):434-7. doi: 10.1016/j.otohns.2009.11.030.
  23. Kuczkowski J, Narozny W, Stankiewicz C, Brzozowski W, Dubaniewicz-Wybieralska M, Plichta Ł. [Epidural abscess as a complication of acute mastoiditis in a 7-year-old child]. Otolaryngol Pol. Sep-Oct 2010;64(5):320-3.
    doi: 10.1016/S0030-6657(10)70615-6. [Article in Polish].
 

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