Management of unsafe type of chronic suppurative otitis media with extracranial complications at a tertiary care center

Abstract

Chronic suppurative otitis media (CSOM) is a common disease in the developing countries and the complications associated with it still pose a major problem. Despite the reduction in the incidence of CSOM-related complications with the introduction of antibiotics, Gradenigo's syndrome, mastoid abscess, labyrinthine fistula, and other complications still do occur. Computed tomography scan is an inevitable part of diagnostic algorithm rendered when a patient with CSOM presents with complications. Otitis media although a common pathology,complications are rare and should be suspected when the picture is of torpid evolution with clinical worsening and manifestation of neurological signs. There is a need to emphasize the importance of accurate and early diagnosis followed by adequate surgical therapy with a multidisciplinary approach. Here, we look at such cases encountered at our institute and their management.