Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis

Introduction: Surgically treated intracranial suppurations (ICS) are uncommon, life-threatening neurosurgical emergencies. They can result from complication of chronic suppurative otitis media (CSOM) and bacterial rhinosinusitis (BRS). The objective of this study was to know the frequency of BRS and...

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Main Authors: Olufemi Emmanuel Idowu, Vincent A. Adekoya, Adesegun P. Adeyinka, Bogofanyo K. Beredugo-Amadasun, Olawale O. Olubi
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2014-12-01
Series:Journal of Neurosciences in Rural Practice
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.145202
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spelling doaj-0fe629c26cd64b5080ef6902214b83322021-04-02T15:19:51ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neurosciences in Rural Practice0976-31470976-31552014-12-0105S048S05210.4103/0976-3147.145202Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitisOlufemi Emmanuel Idowu0Vincent A. Adekoya1Adesegun P. Adeyinka2Bogofanyo K. Beredugo-Amadasun3Olawale O. Olubi4Department of Surgery (Neurosurgery Unit), Neurosurgery Division, Ikeja, NigeriaDepartment of Otorhinolaryngology, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Ikeja, Lagos, NigeriaDepartment of Otorhinolaryngology, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Ikeja, Lagos, NigeriaDepartment of Otorhinolaryngology, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Ikeja, Lagos, NigeriaDepartment of Otorhinolaryngology, Lagos State University College of Medicine and Lagos State University Teaching Hospital, Ikeja, Lagos, NigeriaIntroduction: Surgically treated intracranial suppurations (ICS) are uncommon, life-threatening neurosurgical emergencies. They can result from complication of chronic suppurative otitis media (CSOM) and bacterial rhinosinusitis (BRS). The objective of this study was to know the frequency of BRS and CSOM and relate it to its rare complication of surgically treated ICS while also describing the demography, type and outcome of ICS that resulted from BRS and CSOM. Materials and Methods: All patients that presented to the Otorhinolaryngological department and Neurosurgical unit of the same institution with clinical and radiological features of CSOM, BRS, and ICS were prospectively studied over a 5-year period. Patients were followed up for a minimum of 3 months. Results: Two thousand, two hundred and seventy-nine patients presented during the 5-year study period. Of all these patients, 1511 had CSOM (66.3%) and 768 (33.7%) presented with features of BRS. Eleven (0.73%) had ICS complicating their CSOM while 8 (1.04%) cases of surgically treated ICS followed BRS. Bacterial rhinosinusitis was not more likely to lead to ICS (P = 0.4348). The Odds ratio (OR) of a child ≤ 18 years of age with CSOM developing ICS was 5.24 (95% Confidence interval 1.13-24.34; P = 0.0345), while it was 7.60 (95% Confidence interval 1.52-37.97; P = 0.0134) for children with BRS. Conclusions: The most common type of ICS complicating CSOM and BRS was brain abscess and subdural empyema, respectively. Children are more prone to develop surgical ICS following CSOM and BRS. The proportion of males that had ICS was higher in both CSOM and BRS patients. Optimal outcome is achieved in patients that presented with GCS of 13 and above.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.145202bacterial rhinosinusitisbrain abscesschronic suppurative otitis mediaepidural abscesssubdural empyemas
collection DOAJ
language English
format Article
sources DOAJ
author Olufemi Emmanuel Idowu
Vincent A. Adekoya
Adesegun P. Adeyinka
Bogofanyo K. Beredugo-Amadasun
Olawale O. Olubi
spellingShingle Olufemi Emmanuel Idowu
Vincent A. Adekoya
Adesegun P. Adeyinka
Bogofanyo K. Beredugo-Amadasun
Olawale O. Olubi
Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis
Journal of Neurosciences in Rural Practice
bacterial rhinosinusitis
brain abscess
chronic suppurative otitis media
epidural abscess
subdural empyemas
author_facet Olufemi Emmanuel Idowu
Vincent A. Adekoya
Adesegun P. Adeyinka
Bogofanyo K. Beredugo-Amadasun
Olawale O. Olubi
author_sort Olufemi Emmanuel Idowu
title Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis
title_short Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis
title_full Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis
title_fullStr Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis
title_full_unstemmed Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis
title_sort demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
series Journal of Neurosciences in Rural Practice
issn 0976-3147
0976-3155
publishDate 2014-12-01
description Introduction: Surgically treated intracranial suppurations (ICS) are uncommon, life-threatening neurosurgical emergencies. They can result from complication of chronic suppurative otitis media (CSOM) and bacterial rhinosinusitis (BRS). The objective of this study was to know the frequency of BRS and CSOM and relate it to its rare complication of surgically treated ICS while also describing the demography, type and outcome of ICS that resulted from BRS and CSOM. Materials and Methods: All patients that presented to the Otorhinolaryngological department and Neurosurgical unit of the same institution with clinical and radiological features of CSOM, BRS, and ICS were prospectively studied over a 5-year period. Patients were followed up for a minimum of 3 months. Results: Two thousand, two hundred and seventy-nine patients presented during the 5-year study period. Of all these patients, 1511 had CSOM (66.3%) and 768 (33.7%) presented with features of BRS. Eleven (0.73%) had ICS complicating their CSOM while 8 (1.04%) cases of surgically treated ICS followed BRS. Bacterial rhinosinusitis was not more likely to lead to ICS (P = 0.4348). The Odds ratio (OR) of a child ≤ 18 years of age with CSOM developing ICS was 5.24 (95% Confidence interval 1.13-24.34; P = 0.0345), while it was 7.60 (95% Confidence interval 1.52-37.97; P = 0.0134) for children with BRS. Conclusions: The most common type of ICS complicating CSOM and BRS was brain abscess and subdural empyema, respectively. Children are more prone to develop surgical ICS following CSOM and BRS. The proportion of males that had ICS was higher in both CSOM and BRS patients. Optimal outcome is achieved in patients that presented with GCS of 13 and above.
topic bacterial rhinosinusitis
brain abscess
chronic suppurative otitis media
epidural abscess
subdural empyemas
url http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.145202
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