COMPLICATIONS

OF
OTITIS MEDIA

EXTRA
CRANIAL INTRA
CRANIAL
‫ڈاکٹر شفیع شیخ ایسوسی ایٹ پروفیسر ای این ٹی لمہس‬
 NATURAL ARTIFICIAL
DEFECTS DEFECTS
(FORAMINA & FISSURES)
ROUTES OF (FRACTURE LINES)
SPREAD OF
INFECTION
LYMPHATIC
BLOOD VESSELS
CHANNELS
 CHRONIC ADHESIVE OTITIS EXTERNA

EXTRA- FACIAL NERVE PARALYSIS

CRANIAL
LABYRINTHITIS
COMPL.
OF MASTOIDITIS
SUPP.
OTITIS OTITIS EXTERNA
MEDIA PETROSITIS

THROMBOSIS OF INTERNAL JUGLAR VEIN

 MENINGITIS
INTRA CRANIAL COMPLICATIONS OF

ENCEPHALITIS
SUPPUURATIVE OTITIS MEDIA

EXTRA DURAL ABSCESS

SUB DURAL ABSCESS

BRAIN ABSCESS

OTITIC HYDROCEPHALUS

SIGMOID SINUS THROMBOPHLEBITIS

CHRONIC ADHESIVE OTITIS MEDIA
ADHESIONS FORM IN M.E. AS HEALING PROCESS
WITH ATROPHY OR THICKENING OF T.M.
CONDUCTIVE TYPE OF DEAFNESS DUE TO LIMITED MOVEMENT
M.E. INFLATION BY VALSALVA MANOUVRE
MAY BREAK SYNECHIAE
SYNECHIAECTOMY MAY BE DONE BY PERFORMING
TYMPANOTOMY
RECURRENCE IS PREVENTED BY PLACING
SILASTIC SHEET IN M.E.
 PETROSITIS
OCCURS DUE TO SPREAD OF INFECTION TO PETROUS APEX

AFFECTS 5TH & 6TH CRANIAL NERVES

RESULTS IN HEADACHE, FACIAL PAIN AND DIPLOPIA

THIS SYMPTOM COMPLEX IS CALLED GRADENIGO’S SYNDROME

IT COMPRISES OTORRHOEA, HEADACHE & DIPLOPIA

 INFLAMMATIN OF BONY SEPTA OF
MASTOID BONE.
(INFECTION EXTENDS BEYOND
LINING MUCUS MEMBRANE OF
MASTOID AIR CELLS TO INVOLVE
UNDERLYING BONE)

MASTOIDITIS
 RESORPTION OF
DIFFERENT
PRESSURE POINTS
TO FORM
DIFFERENT
ABSCESSES
RESORPTION OF LATERAL SURFACE BONE TO
FORM SUB PERIOSTEAL MASTOID ABSCESS
FORMATION OF AN EMPYEMA

RESORPTION OF TRABECULAR BONE

PUS FORMATION IN MASTOID AIR CELLS

 POST AURAL MASTOID ABSCESS

ABSCESS FORMS
IN
POST AURAL AREA
BY
ERODING LATERAL SURFACE OF MASTOID BONE
 BEZOLD ABSCESS

ABSCESS FORMS
IN
UPPER PART OF NECK
TO ERODE THROUGH TIP OF MASTOID
INTO SHEATH OF STERNOMASTOID MUSCLE
 CITELLI ABSCESS

ABSCESS FORMS
IN
DIGASTRIC TRIANGLE
BY ERODING THROUGH
INNER TABLE OF MASTOID TIP
&
TRAVELLING ALONG POSTERIOR BELLY OF DIGASTRIC
 LUC’S ABSCESS

ABSCESS FORMS
IN
DEEP PART OF BONY MEATUS
BY
ERODING THROUGH BONY WALL OF ANTRUM
&
EXTERNAL AUDITORY CANAL
 POLITZER’S ABSCESS

ABSCEES FORMS
IN
PETROUS APEX
TO
INVOLVE 5TH & 6TH CRANIAL NERVES
TO
PRODUCE GRADENIGO’S SYNDROME
 ZYGOMATIC ABSCESS

ABSCESS FORMS
IN FRONT & ABOVE PINNA
DUE TO
INFECTION IN
ZYGOMATIC AIR CELLS LOCATED AT
POSTERIOR ROOT OF ZYGOMA
SEVERE PAIN & TENDERNESS OVER
MASTOID REGION
FLUCTUANT SWELLING PRESENT OVER
DIFFERENT ABSCESS MASTOID REGIONS
DISCHARGING SINUS MAY BE PRESENT
OVER MASTOID REGION

MODERATE TO SEVERE DEGREE OF FEVER

DEAFNESS PRESENT ACCORDING TO

SEVERITY STAGE
 EARLY STAGE TREATED BY ANTIBIOTICS &
ANALGESICS

ABSCESS IS EVACUATED BY INCISION &

DRAINAGE

AFTER I&D, IF NO IMPROVEMENT, DESPITE PROPER

ANTIBIOICS, CORTICAL MASTOIDECTOMY