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Complications of acute otitis media consists of perforation of the ear drum, infection of the mastoid space behind the ear (mastoiditis), and more rarely intracranial complications can occur, such as bacterial meningitis, brain abscess, or dural sinus thrombosis. [73]
Otitis media. Acute otitis media is an infection of the middle ear. More than 80% of children experience at least one episode of otitis media by age 3 years. [23] Acute otitis media is also most common in these first 3 years of life, though older children may also experience it. [19]
[2] [3] Mastoiditis is usually caused by untreated acute otitis media (middle ear infection) and used to be a leading cause of child mortality. With the development of antibiotics , however, mastoiditis has become quite rare in developed countries where surgical treatment is now much less frequent and more conservative, unlike former times.
Gradenigo's syndrome, also called Gradenigo-Lannois syndrome, [1] [2] is a complication of otitis media and mastoiditis involving the apex of the petrous temporal bone. It was first described by Giuseppe Gradenigo in 1904. [3]
[2] [3] Complications can include sinusitis and acute otitis media. [2] Pharyngitis is a type of upper respiratory tract infection. [7] Most cases are caused by a viral infection. [2] Strep throat, a bacterial infection, is the cause in about 25% of children and 10% of adults. [2]
Diagnosing bullous myringitis involves using an otoscope to spot distinctive white sack-like structures on the eardrum.Ear pain is the primary complaint. However, differentiating it from acute otitis media can be difficult, leading to early misdiagnosis.The rarity of bullous myringitis, especially compared to acute otitis media, can result in common misdiagnoses.
There are numerous indications for tympanostomy in the pediatric age group, [1] [10] the most frequent including chronic otitis media with effusion (OME) which is unresponsive to antibiotics, and recurrent otitis media.
Bezold's abscess is an abscess deep to the sternocleidomastoid muscle where pus from mastoiditis erodes through the cortex of the mastoid part of the temporal bone, medial to the attachment of sternocleidomastoid, extends into the infratemporal fossa, and deep to the investing layer of the deep cervical fascia.