Clinical Diagnostic Features of the Course and Treatment of Otogenic Intracranial Complications

The analysis of specific clinical and instrumental examination results enabled the assessment of the peculiarities in the course of otogenic intracranial complications associated with chronic suppurative otitis media. This study presents the outcomes of comprehensive treatment in 46 patients with chronic suppurative otitis media and intracranial complications. Isolated complications were identified in 47.9% of cases, while combined complications occurred in 52.1%. The findings underscore that MSCT and MRI of the temporal bones and brain, otomicroscopy, and cerebrospinal fluid analysis facilitate the early detection of otogenic intracranial complications. Patients with such complications require urgent open radical middle ear surgery. The proposed integrated system of emergency surgical intervention and intensive therapy significantly improves treatment outcomes and reduces mortality in patients with otogenic intracranial complications.