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<p>Complications of acute otitis media (AOM) are rare but can occur intratemporally or intracranially. Clinically relevant mastoiditis usually presents with subperiosteal abscesses, whereas subclinical opacification of the mastoid cells is common but does not require specific treatment. Other potential complications include labyrinthitis, facial nerve palsy, intratemporal abscess, cerebral venous sinus thrombosis, or meningitis. Diagnosis relies on clinical examination, laboratory tests, and targeted imaging. Intratemporal complications are primarily treated with antibiotics. Surgical intervention is indicated in cases of abscess formation or treatment failure. Intracranial complications often necessitate interdisciplinary surgical management. This review provides practical guidance on differentiation, diagnosis, and treatment, highlighting the importance of recognizing potentially severe courses.</p>

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Komplikationen der akuten Otitis media

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年6月30日

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  • Lukas Schmutzler,
  • Matthias Santer,
  • Daniel Dejaco,
  • Benedikt Hofauer,
  • Joachim Schmutzhard

摘要

Complications of acute otitis media (AOM) are rare but can occur intratemporally or intracranially. Clinically relevant mastoiditis usually presents with subperiosteal abscesses, whereas subclinical opacification of the mastoid cells is common but does not require specific treatment. Other potential complications include labyrinthitis, facial nerve palsy, intratemporal abscess, cerebral venous sinus thrombosis, or meningitis. Diagnosis relies on clinical examination, laboratory tests, and targeted imaging. Intratemporal complications are primarily treated with antibiotics. Surgical intervention is indicated in cases of abscess formation or treatment failure. Intracranial complications often necessitate interdisciplinary surgical management. This review provides practical guidance on differentiation, diagnosis, and treatment, highlighting the importance of recognizing potentially severe courses.