Pediatric otogenic cerebral venous sinus thrombosis

Aim: to study the incidence of pediatric otogenic cerebral sinus thrombosis according data Pediatric Department ENT Diseases (Regional Clinical Hospital No. 2, Tyumen). Patients and Methods: a retrospective analysis medical records children with acute otitis media, exacerbation chronic mastoiditis extra- intracranial complications was conducted. All were hospitalized from 2009 2019. The following indicators studied: age gender characteristics complications; parameters clinical, laboratory, microbiological, X-ray imaging, prevalence among all forms complications. Results: during period, 6123 patients purulent-inflammatory pathology ear treated. Otogenic verified in 135 (mean 5.99±0.34 years), venous detected 17 (12.6%) patients. Parents independently conducted treatment for 3 (17.6%) children, under pediatrician supervision carried out 6 (35.3%) otorhinolaryngologist — 8 (47%) children. In cases, anamnesis presented absence laboratory diagnostics at stage control AOM recovery outpatient conditions. Upon admission, (100%) had complaints about pain, 14 (82.3%) complainted headache, 4 (23.5%) noted purulent discharge ear. Swelling, pitting edema, moderate hyperemia along posterior edge mastoid process recorded 5 (29.4%) hyperemia, significant tenderness on palpation tip examination using an interdisciplinary approach. CT MRI contrast performed suspected complication thrombosis. Various types defects sigmoid passage contrast. underwent emergency surgical interventions prescribed antibacterial anticoagulant therapy. discharged recovered, revealed complete recanalization vessels. Conclusions: 12.6% Untimely visit doctor uncontrolled self-treatment, insufficient alertness most common causes An approach allows reduce risk septic complications, adverse outcomes achieve recovery. KEYWORDS: thrombosis, antromastoidotomy, myringotomy, FOR CITATION: Kuznetsova N.E., Veshkurtseva I.M., T.B. Russian Medical Inquiry. 2022;6(7):399–403 (in Russ.). DOI: 10.32364/2587-6821-2022-6-7-399-403.