Complications of Cholesteomatous Otitis Media (About 18 cases) - Abstract
Aim: To present the incidence of complications of chronic cholesteatomatous otitis media (CCOM) and share our experience in their management.Methods: This was a retrospective study of patients hospitalized in the ENT department of Hassan II University Hospital, Fez, who presented with complicated cholesteatomatous chronic otitis media, over a period from January 2013 to September 2018. Results: We managed 112 cases of CCOM of which 18 patients had a complication and benefited from medical-surgical treatment. The most frequent complication was encephalic abscess found in 6 patients, followed by otomastoiditis and labyrinthitis. No recurrences or deaths were reported. Conclusion: The management of cholesteatoma is well codified; however, the management of cholesteatoma complications remains a subject of controversy in the literature. Early detection and management of pre-cholesteatoma conditions can help reduce the incidence of complications and prevent severe forms of the disease.