Resumo

QUINTERO NOA, Julianis Loraine; ALVAREZ LAM, Ileana; HERNANDEZ CORDERO, María del Carmen  e  MELENDEZ QUINTERO, Loraine Lilia. Complications of acute and chronic otitis media in the child. Rev Cubana Pediatr [online]. 2013, vol.85, n.1, pp. 89-105. ISSN 0034-7531.

Thanks to the discovery of antiobiotics, the incidence of complications in the chronic and acute otitis media has significantly decreased, though they remain a potential mortality and morbidity risk. The reduction of complications can be conditional on some diagnostic delays, on account of lack of clinical suspicions, symptoms disguised by previous antibiotic treatments and wrong prognosis; therefore, the complications continue to be severe processes that endanger the patient's life. They are currently classified as extracranial and intracranial. The former are divided into extratemporal and intratemporal and represent a health problem for the pediatric population despite the extended use of antibiotics. The clinical, otomicroscopic and imaging assessment is reported as a diagnostic criterion predictive of suspicions and of confirmation. Facial paralysis, vertigo, vomiting, headache, pain irradiated to the mastoids, or to the temporoparietal region, and hyperthermia should be alerts to the physician about suppurative otitis complication.

Palavras-chave : acute otitis media; chronic otitis media; complications; cholesteatoma.

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