Document Detail


Managing chronic otitis media with cholesteatoma report of 223 patients seen in a 5-year period.
MedLine Citation:
PMID:  18390126     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To assess the clinical features, diagnosis, and treatment of patients having chronic otitis media (COM) with cholesteatoma seen in the ENT/Head and Neck Surgery Clinic at the University Clinical Center, Prishtina, Kosovo. METHOD: A systematic review of the medical records of all patients admitted to the ENT clinic having COM with cholesteatoma between January 1999 and December 2003. RESULTS: During this period, 223 patients suffering from COM with cholesteatoma underwent surgical treatment. There were 123 (55%) male and 100 (45%) female patients. Their mean age was 30.7 years, ranging from youngest patient (7-year-old girl) to oldest (73-year-old lady). Thirty-three patients developed complications: 17 patients extracranial complications (EC) and 16 intracranial complications (IC). Leading pathogens in this series were Proteus mirabilis in 52% of cases, Proteus vulgaris in 14% and Staphylococcus aureus in 12%. All patients underwent surgical treatment: 10 patients (4.5%) a canal-wall up (CWU) procedure and 213 (95.5%) a canal-wall down (CWD) procedure. No deaths occurred in this series. CONCLUSION: Because of possibility of developing life-threatening complications, patients with COM with cholestatoma must diagnosed in time and followed as soon as possible to the center that performs ear surgery, as only adequate treatment option for these patients.
Authors:
A Mustafa; Q Hysenaj; X Latifi; L Ukimeraj; H Thaçi; A Heta; A Behramaj
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria     Volume:  17     ISSN:  1115-2613     ISO Abbreviation:  Niger J Med     Publication Date:    2008 Jan-Mar
Date Detail:
Created Date:  2008-04-08     Completed Date:  2008-04-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888321     Medline TA:  Niger J Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  20-4     Citation Subset:  IM    
Affiliation:
ENT/Head and Neck Surgery Clinic, University Clinical Center, Prishtina, Kosovo. aziz_mustafa2000@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Cholesteatoma, Middle Ear / complications,  diagnosis,  surgery*
Female
Humans
Incidence
Labyrinth Diseases / microbiology
Male
Middle Aged
Otitis Media / complications,  diagnosis,  surgery*
Proteus mirabilis
Proteus vulgaris
Retrospective Studies
Staphylococcus aureus
Time Factors
Yugoslavia

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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