Medical treatment of chronic suppurative otitis media without cholesteatoma in children - a two-year follow-up

Alberto Leiberman, Dan M. Fliss, Ron Dagan

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

A prospective long-term study was carried out in 48 infants and children with chronic suppurative otitis media without cholesteatoma treated initially with wide spectrum intravenous antibiotics and suction and debridement. Patients were followed for a period of two years. All children were cured after completion of therapy. At 3 and 6 months follow-up 75% of the children were still free of discharge and at 12, 18 and 24 months the proportion of dry ears dropped to 71%, 66% and 52%, respectively. Eighty percent of all recurrences developed already during the first 6 months of follow-up. Pseudomonas aeruginosa was the most common pathogen isolated, both in the initial and recurrent bouts of the disease, and was commonly associated with other pathogens. Children with early reappearance of ear discharge were less likely to benefit from further antimicrobial or surgical treatment. The recurrence rate was not affected by the antibiotic regimen, age, duration of drainage before treatment or the presence of granulation tissue. No intracranial or intratemporal complications were observed during the follow-up period.

Original languageEnglish
Pages (from-to)25-33
Number of pages9
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume24
Issue number1
DOIs
StatePublished - 1 Jan 1992
Externally publishedYes

Keywords

  • Child
  • Chronic otitis media
  • Parenteral treatment
  • Suppuration

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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