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84th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

08.05. - 12.05.2013, Nürnberg

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Pathomorphism of otitis media with effusion

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  • corresponding author Elena P. Merkulova - Belorusian State Medical Univ., Dept. ENT, Minsk, Belarus
  • L. Semak - Belorusian State Medical Univ., Dept. ENT, Minsk, Belarus

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 84. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Nürnberg, 08.-12.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13hnod465

doi: 10.3205/13hnod465, urn:nbn:de:0183-13hnod4651

Published: April 15, 2013

© 2013 Merkulova et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Complications of inflammatory processes are the main cause of death in ENT patients.

Study objective: Specific characteristics, and complications of ЕNT-diseases in modern clinic.

Subjects and methods: 60 in patient medical records of patients with intracranial complications of EN-processes were eraluated. Time period is since 1995 to 2010.

Results: The majority of intracranial complications had otogenic origin (n=46, 76%). One third of patients (n=18, 29,8%) died. According to our data, the main cause of complications and death (n=12, 64,7%) was otitis media with effusion.

These patients did not show classic clinical manifestation of inflammation. Only 29,8% of patients had pain, and 36,2% of patients had purulent discharge.

Surgical interventions showed that the majority of patients had chronic process with significant anatomical destructions of structures of middle ear in spite of acute manifestation of the disease.

Conclusion: Otitis media is the leading cause of intracranial complications. Morphological manifestations of the disease in spite of the discrepancy with clinical course confirm the chronic character of the process in the middle ear.

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