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"apellidos" => "Casarotto" ] 2 => array:2 [ "nombre" => "M.L." "apellidos" => "Tosello" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Zernotti" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Otorrinolaringología. Sanatorio Allende. Córdoba. Argentina" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "a" "correspondencia" => "Mario Emilio Zernotti. Servicio de Otorrinolaringología Sanatorio Allende de Córdoba. Argentina" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Incidence of complications of otitis media" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-08-27" "fechaAceptado" => "2004-12-22" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec81016" "palabras" => array:4 [ 0 => "Complicaciones" 1 => "Otitis media" 2 => "Endocraneales" 3 => "Streptococcus pneumoniae" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec81015" "palabras" => array:4 [ 0 => "Complications" 1 => "Otitis media" 2 => "Intracraneal" 3 => "Streptococcus pneumoniae" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar la incidencia de complicaciones otológicas e intracraneales por otitis media, evaluando la repercusión del tratamiento instaurado previamente y la evolución de las mismas</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Trabajo retrospectivo realizado durante el período de marzo de 1996 a marzo de 2003. Se incluyeron 16 pacientes (9 hombres y 7 mujeres)</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Del total de pacientes, 9 (56,25%) tuvieron complicaciones intracraneales y 7 complicaciones otológicas. Entre las primeras, hubo 6 casos de meningitis por Streptococcus pneumoniae, un caso de tromboflebitis del seno sigmoideo con absceso cerebral, un caso con múltiples abscesos cerebrales y uno con empiema subdural y encefalitis. Entre las complicaciones otológicas, 6 pacientes sufrieron mastoiditis aguda y un caso parálisis facial recurrente. El niño con abscesos cerebrales fue tratado quirúrgicamente; al paciente con tromboflebitis se le realizó mastoidectomía con ligadura del seno sigmoideo. Cinco de las mastoiditis fueron operadas y la restante fue tratada conservadoramente. Las meningitis se trataron médicamente. Hubo dos fallecimientos, uno por empiema subdural y otro por meningitis</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A pesar de los progresos en la antibioticoterapia y de los métodos de diagnóstico, las complicaciones de otitis medias son aún frecuentes, por lo cual deben estar siempre en el pensamiento del médico pediatra y otorrinolaringólogo, además de tener presente el neumococo y su alta resistencia</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objetive</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Determine the incidence of othologycal and endocraneal complications of acute otitis media, taking into account previous treatments and the development of complications</p> <span class="elsevierStyleSectionTitle">Material and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective follow-up study between March 1996-2003 including 16 patients: 9 men, 7 women</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Nine patients (56.25%) had intracraneal complications and seven othologycal ones. In the first group, 6 developed meningitis by Streptococcus pneumoniae, one sigmoid sinus tromboflebitis, one multiples abscesses, and one subdural empiema and encephalitis. Othologycal complications were six acute mastoiditis and the other one a facial paralysis. The child with tromboflebitis underwent mastoidectomy and closed meningeal comunication; 5 of the acute mastoiditis were operated on and the other received traditional treatment. The meningitis received medication. Two died, one because of a subdural empiema and the other due to meningitis</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Despite the advances made by antibiotherapy and diagnosis, the complications of otitis media are still frequent. 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Journal Information
Incidencia de complicaciones de otitis media
Incidence of complications of otitis media
M.E. Zernottia
, C. Casarotto, M.L. Tosello, M. Zernotti
Corresponding author
mzernotti@intramed.net.ar
mzernotti@sanatorioallende.com
Mario Emilio Zernotti. Servicio de Otorrinolaringología Sanatorio Allende de Córdoba. Argentina
mzernotti@sanatorioallende.com
Mario Emilio Zernotti. Servicio de Otorrinolaringología Sanatorio Allende de Córdoba. Argentina
Servicio de Otorrinolaringología. Sanatorio Allende. Córdoba. Argentina