COMPLICATIONS OF OTITIS MEDIA IN CHILDREN TREATED IN THE ENT PAEDIATRIC CLINIC OF WARSAW MEDICAL UNIVERSITY

Lechosław P. Chmielik, *Magdalena Fršckiewicz, Mieczysław Chmielik

Summary
Introduction. Otitis media is one of the most common diseases among children. Difficulties with treating acute and chronic otitis media may result among other things in insufficient drug penetration to the inflammatory focus, inadequate dose of drugs or antibiotic, or increasing drug resistance of microorganisms. Complications of otitis media are divided into: intra-temporal, intracranial and systemic complications.
Aim. The aim of this research was the analysis of diagnostic and therapeutic procedures in children treated for complications of otitis media in the ENT Paediatric Clinic of Warsaw Medical University.
Material and method. The case histories of 38 children treated in the ENT Paediatric Clinic of Warsaw Medical University in the period between January 2005 and March 2009 were studied. The aim of the analysis was: clinical picture, course of disease, diagnostic and therapeutic procedures as well as the results of the treatment.
Results. There were 21 children (55.26% of analyzed patients) with mastoiditis, 6 children (15.78% of analyzed patients) with facial palsy, 1 child with fistula of the semicircular lateral canal, 4 children with thrombosis sigmoid sinusitis, and 2 children with systemic complication.
Conclusions. 1. The clinical view of otitis media complications has been changing and very few cases correspond with their description in the literature. 2. In case of otitis media complications the coordination of pharmacological and surgical treatment is necessary. 3. All otitis media complications require hospitalization. 4. Progress in pharmacological treatment enables less aggressive surgical treatment.

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