Changing trends in clinical presentations and management of chronic otits media with complications

Chronic suppurative otitis media, infection of the middle ear, is a common disease in the developing countries and the complications associated with it still pose a major problem in the developing countries. The proximity of the middle ear cleft and mastoid air cells to the extracranial and intracranial compartments places structures located in these areas at increased risk of infectious complications. Complications are seen more in the rural population than in urban population. Despite the fact that incidence of chronic suppurative otitis media related complications has significantly decreased since the introduction of antibiotics this clinical problem has not been eliminated yet. The complications chronic suppurative otitis media remains a serious concern, particularly in developing countries and socioeconomically poor regions. Complications are more common in patients having atticoantral type otitis media than in patients with tubotympanic type of otitis media.