Chronic Suppurative Otitis Media with Complication of Brain Abscess: A Case Series Report

Abstract

Introduction & Objective: Chronic suppurative otitis media (CSOM) can lead to life-threatening intracranial complications that require prompt management. The recommended management consists of abscess evacuation through craniotomy followed by mastoidectomy. This case report aims to evaluate the differences in management approaches between two cases of CSOM complicated by brain abscess. Methods: Two patients diagnosed with CSOM with brain abscess were included. The diagnoses were established through history taking, and thorough examination. The first patient underwent craniotomy for abscess evacuation followed by mastoidectomy, whereas the second patient underwent craniotomy alone without mastoidectomy. Results: The first patient showed significant improvement two months postoperatively. The second developed recurrent abscess one month after initial craniotomy and subsequently underwent re-craniotomy with radical mastoidectomy, resulting in full recovery. Conclusion: CSOM with brain abscess requires rapid and aggressive multidisciplinary management, involving abscess evacuation through craniotomy followed by tympanomastoidectomy or radical mastoidectomy.