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Otogenic intracranial complications: a 10-year retrospective review in KwaZulu-Natal, South Africa

Published online by Cambridge University Press:  22 January 2020

Z B Khuzwayo  and
B Enicker
Z B Khuzwayo*
Affiliation:
Department of Ear, Nose and Throat Surgery, Inkosi Albert Luthuli Central Hospital, Durban, South Africa Department of Head and Neck Surgery, Inkosi Albert Luthuli Central Hospital, Durban, South Africa
B Enicker
Affiliation:
Department of Neurosurgery, Inkosi Albert Luthuli Central Hospital, Durban, South Africa
*
Author for correspondence: Dr Z B Khuzwayo, Department of Otorhinolaryngology, Head and Neck Surgery, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Private Bag x07, Congella, Durban 4004, South Africa E-mail: zkhuzwayo@hotmail.com Fax: +27 866 12 6633
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Abstract

Objectives

To analyse the data for patients with otogenic intracranial complications during the study period and draw a comparison with internationally published literature.

Method

A retrospective, observational study was conducted, covering a 10-year period between 1 January 2002 and 31 December 2012.

Results

The study comprised 108 patients (66 males (61.1 per cent) and 42 females (38.9 per cent)), of which 75 per cent were aged less than 20 years. Post-auricular swelling, otorrhoea and a decreased level of consciousness were the most frequently reported symptoms in patients with otogenic intracranial complications. Patients with human immunodeficiency virus did not show any different patterns in terms of presentation and outcome.

Conclusion

A triad of post-auricular swelling, otorrhoea and a decreased level of consciousness should make the clinician more heedful of otogenic intracranial complications. Patients with human immunodeficiency virus and human immunodeficiency virus negative patients were equally affected and had similar presentations. Early surgical management of patients was associated with shorter hospital stays and better outcomes.

Keywords

MastoiditisThrombosis

Information

Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 1 , January 2020 , pp. 3 - 7
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr Z B Khuzwayo takes responsibility for the integrity of the content of the paper

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