Yan Edward
Department of Otorhinolaryngology - Head and Neck Surgery
Faculty of Medicine Andalas University/ Dr. M. Djamil

DOI: https://doi.org/10.19184/ams.v8i1.24362

Abstract

Chronic suppurative otitis media is defined as a chronic inflammation involving a middle ear mucosa and mastoid cells. Brain abscess is the second most common intracranial complication of otitis media after meningitis. Antibiotics are only effective in the early stages of brain abscess formation, so surgical treatment is needed if the abscess capsule has formed. We report a case of a male patient aged 22 years with a diagnosis of chronic suppurative otitis media auris dextra cholesteatoma type with complications of cerebral abscess measuring 7x5x5 cm. Empirical antibiotic therapy was given to the patient followed by management of cerebral abscess drainage, but recurrent cerebral abscess formation occurred. Then, drainage of the second cerebral abscess was performed followed by tympanomastoidectomy canal wall down for right auricle. In conclusion, chronic suppurative otitis media complicated by cerebral abscess was managed by drainage of the abscess if the abscess size was >2 cm and followed by tympanomastoidectomy canal wall down. Otogenic brain abscess can recur if the antibiotic therapy given is inadequate due to abscess capsule that has formed.

Keyword: Otogenic brain abscess, tympanomastoidectomy, CSOM,drainage.

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