Complications Of Otitis Media

Question 1

What are the complications of otitis media

Answer 1

Cranial (intratemporal)
• Mastoiditis
• Facial nerve paralysis
• Petrositis
• Labyrinthitis

Intracranial
• Meningitis
• Brain abscess
• Subdural abscess
• Lateral sinus thrombosis
• Cavernous sinus
thrombosis

Question 2

• Fever, headache
• Hearing loss, otalgia
• +/- discharge (Reservoir
sign)
• Tender postauricular
swelling
• May be fluctuant

These are symptoms of….

Answer 2

Mastoiditis

Question 3

Treatment of mastoiditis

Answer 3

Systemic antibiotics
• If no improvement after
48 hours ->
Mastoidectomy
• If Mastoid Abscess->
Mastoidectomy under
antibiotic cover

Question 4

Triad of symptoms of petrosistis

Answer 4

Retroorbital pain
Otorrhea
Abducens nerves paralysis

Question 5

Treatment of petrositis

Answer 5

Medical treatment +
mastoidectomy with
petrous apicectomy

Question 6

Treatment of Labyrinthitis

Answer 6

Medical treatment +/-
mastoidectomy +/-
labyrinthectomy