Analysis of Complications Related to Chronic Supurative Otitis Media in a Tertiary Referall Center During a 5-Year Period

Duygu Erdem; Deniz Baklacı; Ergin Bilgin; Mustafa Dalgıç; Gökhan Furkan Kılıç

Makale detayları

Analysis of Complications Related to Chronic Supurative Otitis Media in a Tertiary Referall Center During a 5-Year Period

Yazarlar:

Duygu Erdem | Deniz Baklacı | Ergin Bilgin | Mustafa Dalgıç | Gökhan Furkan Kılıç

Yayıncı:

Zonguldak Bulent Ecevit University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Batı Karadeniz Tıp Dergisi Vol.8 Issue 1, pp.1-7

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001316361

pISSN:

2822-4302

Anahtar kelimeler:

Özet:

 Aim: Chronic supurative otitis media CSOM, which may lead to severe complications, is a common disease and should be treated meticulously. CSOM related complications subdivided into two groups as extracranial EC and intracranial IC. In this study, patients who were diagnosed with CSOM related complications are analyzed in our third referral hospital, during 5-year periods. Material and Methods: In this study, we included the patients diagnosed with CSOM and admitted our hospital between June 2017 and June 2022. There were 1630 patients, and were analyzed the diagnosed as CSOM in our center. Results: 60 patients 3,6 had complications related to CSOM and all patients underwent tympanomastoidectomy for treatment. Extracranial EC, Intracranial IC and Combined complication rates were 53 88.3, 2 3.4 and 5 8.3, respectively. Inaddition, 22 36.7 patients had more than one extracranial complicaton, and 1 1.7 patient had more than one intracranial complication. Patients with extracranial complications were treated by canal wall down tympanomastoidectomy CWDTM. Four patients who had facial paralysis as a complication were underwent CWDTM and facial nerve decompression. No mortality were observed due to CSOM complications. Conclusion: Patients who were underwent facial nerve decompression had improved their facial nerve fonctions during postoperative 6 months period. All patients with CSOM should be assessed for complications and they should be diagnosed and treated urgently.

 Aim: Chronic supurative otitis media CSOM, which may lead to severe complications, is a common disease and should be treated meticulously. CSOM related complications subdivided into two groups as extracranial EC and intracranial IC. In this study, patients who were diagnosed with CSOM related complications are analyzed in our third referral hospital, during 5-year periods. Material and Methods: In this study, we included the patients diagnosed with CSOM and admitted our hospital between June 2017 and June 2022. There were 1630 patients, and were analyzed the diagnosed as CSOM in our center. Results: 60 patients 3,6 had complications related to CSOM and all patients underwent tympanomastoidectomy for treatment. Extracranial EC, Intracranial IC and Combined complication rates were 53 88.3, 2 3.4 and 5 8.3, respectively. Inaddition, 22 36.7 patients had more than one extracranial complicaton, and 1 1.7 patient had more than one intracranial complication. Patients with extracranial complications were treated by canal wall down tympanomastoidectomy CWDTM. Four patients who had facial paralysis as a complication were underwent CWDTM and facial nerve decompression. No mortality were observed due to CSOM complications. Conclusion: Patients who were underwent facial nerve decompression had improved their facial nerve fonctions during postoperative 6 months period. All patients with CSOM should be assessed for complications and they should be diagnosed and treated urgently.

 Aim: Chronic supurative otitis media CSOM, which may lead to severe complications, is a common disease and should be treated meticulously. CSOM related complications subdivided into two groups as extracranial EC and intracranial IC. In this study, patients who were diagnosed with CSOM related complications are analyzed in our third referral hospital, during 5-year periods. Material and Methods: In this study, we included the patients diagnosed with CSOM and admitted our hospital between June 2017 and June 2022. There were 1630 patients, and were analyzed the diagnosed as CSOM in our center. Results: 60 patients 3,6 had complications related to CSOM and all patients underwent tympanomastoidectomy for treatment. Extracranial EC, Intracranial IC and Combined complication rates were 53 88.3, 2 3.4 and 5 8.3, respectively. Inaddition, 22 36.7 patients had more than one extracranial complicaton, and 1 1.7 patient had more than one intracranial complication. Patients with extracranial complications were treated by canal wall down tympanomastoidectomy CWDTM. Four patients who had facial paralysis as a complication were underwent CWDTM and facial nerve decompression. No mortality were observed due to CSOM complications. Conclusion: Patients who were underwent facial nerve decompression had improved their facial nerve fonctions during postoperative 6 months period. All patients with CSOM should be assessed for complications and they should be diagnosed and treated urgently.

 Amaç: Kronik süpüratif otitis media KSOM, ciddi komplikasyonlar gelişebileceğinden, dikkatle tedavi edilmesi gereken çok yaygın bir hastalıktır. KSOM bağlı komplikasyonlar ekstrakraniyal EK veya intrakraniyal İK olarak sınıflandırılabilir. Bu çalışmada, üçüncü basamak referans merkezimize başvuran ve tedavi edilen KSOM hastalarında otojenik ekstrakraniyal ve intrakraniyal komplikasyonlarla ilgili son 5 yıldaki deneyimlerimiz gözden geçirildi. Gereç ve Yöntemler: Çalışmaya, Haziran 2017-Haziran 2022 tarihleri arasında üçüncü basamak referans merkezimize başvuran, KSOM tanısı konulan ve tedavi edilen hastaların klinik kayıtları dahil edildi. Haziran 2017- Haziran 2022 tarihleri arasında, merkezimize başvuran KSOM teşgisi almış 1630 hastanın verileri analiz edildi. Bulgular: 1630 hastanın kayıtlarından, komplikasyonlu 60 hasta  3,6 tespit edildi ve tüm hastalara timpanomastoidektomi yapıldı. EK, İK ve kombine EK ve İK komplikasyonu sırasıyla 53 88,3, 2 3,4, 5 8,3 hastada meydana geldi. Ek olarak, 22 36,7 hastada birden fazla EK komplikasyon, 1 1,7 hastada birden fazla İK komplikasyonu meydana geldi. EK komplikasyonları olan tüm hastalar kanal wall down timpanomastoidektomi CWDTM ile tedavi edildi. Fasiyal sinir paralizisi FSP olan 4 hastanın tümüne CWDTM ve fasiyal sinir dekompresyonu uygulandı. KSOM komplikasyonları nedeniyle mortalite görülmedi. Fasiyal paralizi komplikasyonu nedeniyle fasiyal dekompresyon yapılan hastalarda postoperatif 6 ay içerisinde fasiyal fonksiyonların tüm hastalarda normale döndüğü gözlendi. Sonuç: Hastalar KSOM ilişkili oluşabilecek komplikasyonlar açısından özellikle değerlendirilmeli ve erken dönemde tanı konularak tedavi edilmelidir.

Makale detayları

Analysis of Complications Related to Chronic Supurative Otitis Media in a Tertiary Referall Center During a 5-Year Period

Yazarlar:

Duygu Erdem | Deniz Baklacı | Ergin Bilgin | Mustafa Dalgıç | Gökhan Furkan Kılıç

Yayıncı:

Zonguldak Bulent Ecevit University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Batı Karadeniz Tıp Dergisi Vol.8 Issue 1, pp.1-7

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001316361

pISSN:

2822-4302

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Sayı

Makale detayları

Yazarlar: Duygu Erdem | Deniz Baklacı | Ergin Bilgin | Mustafa Dalgıç | Gökhan Furkan Kılıç

Yayıncı: Zonguldak Bulent Ecevit University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Batı Karadeniz Tıp Dergisi Vol.8 Issue 1, pp.1-7

Belge Tipi: Makale

Yayın Tarihi: 4/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001316361

pISSN: 2822-4302

Sayı

Yazarlar:

Duygu Erdem | Deniz Baklacı | Ergin Bilgin | Mustafa Dalgıç | Gökhan Furkan Kılıç

Yayıncı:

Zonguldak Bulent Ecevit University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Batı Karadeniz Tıp Dergisi Vol.8 Issue 1, pp.1-7

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001316361

pISSN:

2822-4302