title: Complications of chronic suppurative otitis media: challenge for a developing country.
abstract: OBJECTIVE
  This study aims to investigate the frequency and management of complications of chronic suppurative otitis media (CSOM).
  
  
  METHODS
  Out of 376 patients with CSOM, 44 patients (25 males, 19 females; mean age 48.5±3.5 years; range 21 to 76 years) meeting study criteria were enrolled in this descriptive cross sectional study which was conducted at the Department of Ear Nose and Throat, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital Peshawar. All newly diagnosed patients having CSOM with complications were enrolled. The complications were treated first. Intracranial abscesses were evacuated by neurosurgeons. Radical and modified radical mastoidectomy were performed.
  
  
  RESULTS
  Majority of the patients presented in the second and third decade of life (21-30 years: 27.27%, 31-40 years: 18.18%). Most of the patients (59.1%) had lower socioeconomic status. Canal wall down mastoidectomy was the most common (79.5%) procedure performed. Cholesteatoma was the most common operative finding (100%). Among extracranial complications, subperiosteal abscess was the most common finding (38.63%), while extradural abscess outnumbered (22.72%) in intracranial complications.
  
  
  CONCLUSIONS
  Complications of CSOM commonly affect younger people with low socioeconomic status. Collaborating with neurosurgeons may assist in the successful management of this infection.
authors.affiliation: Department of ENT, Head & Neck Surgery, Postgraduate Medical Institute (PGMI), Lady Reading Hospital (LRH) 0092 Peshawar, Pakistan.
authors.forename: Fazal I
authors.initials: FI
authors.lastname: Wahid
authors.forename: Adil
authors.initials: A
authors.lastname: Khan
authors.forename: Iftikhar Ahmad
authors.initials: IA
authors.lastname: Khan
mesh_terms: D000328:Adult; D000368:Aged; D001922:Brain Abscess / Q000150:complications* / Q000601:surgery; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery*; D008875:Middle Aged; D010035:Otitis Media, Suppurative / Q000150:complications / Q000453:epidemiology*; D012923:Social Class; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult