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Complications of otitis media in Indigenous and non‐Indigenous children

2009; Wiley; Volume: 191; Issue: S9 Linguagem: Inglês

10.5694/j.1326-5377.2009.tb02929.x

1326-5377

Tony O’Connor, Christopher Perry, Francis J. Lannigan,

Vascular Anomalies and Treatments

Medical Journal of AustraliaVolume 191, Issue S9 p. S60-S64 Supplement Complications of otitis media in Indigenous and non-Indigenous children Tony E O’Connor AFRCSI, FRCS(ORL-HNS), Corresponding Author Tony E O’Connor AFRCSI, FRCS(ORL-HNS) Fellow in Paediatric Otolaryngology antoconnor@ireland.com Department of Otolaryngology, Head and Neck Surgery, Princess Margaret Hospital for Children, Perth, WA.Correspondence: antoconnor@ireland.comSearch for more papers by this authorChristopher F Perry MB BS, DTM, Christopher F Perry MB BS, DTM Otolaryngologist; Otolaryngologist; and Associate Professor of Otolaryngology Royal Children's Hospital, Brisbane, QLD. Princess Alexandra Hospital, Brisbane, QLD. University of Queensland, Brisbane, QLD.Search for more papers by this authorFrancis J Lannigan MD, FRCS(ORL)(Ed), FRACS, Francis J Lannigan MD, FRCS(ORL)(Ed), FRACS Otolaryngologist; and Clinical Professor of Otolaryngology Department of Otolaryngology, Head and Neck Surgery, Princess Margaret Hospital for Children, Perth, WA. University of Notre Dame, Perth, WA.Search for more papers by this author Tony E O’Connor AFRCSI, FRCS(ORL-HNS), Corresponding Author Tony E O’Connor AFRCSI, FRCS(ORL-HNS) Fellow in Paediatric Otolaryngology antoconnor@ireland.com Department of Otolaryngology, Head and Neck Surgery, Princess Margaret Hospital for Children, Perth, WA.Correspondence: antoconnor@ireland.comSearch for more papers by this authorChristopher F Perry MB BS, DTM, Christopher F Perry MB BS, DTM Otolaryngologist; Otolaryngologist; and Associate Professor of Otolaryngology Royal Children's Hospital, Brisbane, QLD. Princess Alexandra Hospital, Brisbane, QLD. University of Queensland, Brisbane, QLD.Search for more papers by this authorFrancis J Lannigan MD, FRCS(ORL)(Ed), FRACS, Francis J Lannigan MD, FRCS(ORL)(Ed), FRACS Otolaryngologist; and Clinical Professor of Otolaryngology Department of Otolaryngology, Head and Neck Surgery, Princess Margaret Hospital for Children, Perth, WA. University of Notre Dame, Perth, WA.Search for more papers by this author First published: 02 November 2009 https://doi.org/10.5694/j.1326-5377.2009.tb02929.xCitations: 12Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract In Australia, three to five children die each year because of otitis media complications, and 15 children will suffer permanent hearing loss each year as a result of otitis media. Extracranial complications occur most commonly, and include mastoiditis, cholesteatoma and otitis media with perforation. Intracranial complications are less common, and include meningitis, brain abscess and lateral sinus thrombosis. In Australia, approximately 60% of extracranial and intracranial complications of otitis media occur in children. The contrasting rates of childhood otitis media among Indigenous and non-Indigenous children have implications for the frequency and types of complications occurring in both groups. Otitis media with effusion and acute otitis media predominate among non-Indigenous children, whereas chronic suppurative otitis media (CSOM) occurs most commonly among Indigenous children. The incidence of mastoiditis in Australia is low by international standards (2/100 000 children), but cholesteatoma rates among Indigenous children in Australia are higher than previously estimated (up to 10% in CSOM). A high rate of chronic tympanic membrane perforation occurs among Indigenous children, estimated to be as high as 80%. Intracranial complications of otitis media are uncommon, but are potentially life-threatening and are more likely to occur among Indigenous than non-Indigenous children. Reduced access to medical care, lower socioeconomic status and remote living conditions mean that levels of early childhood hearing loss among Indigenous children are likely to be underestimated. This has implications for early childhood speech and language development and education. Citing Literature Volume191, IssueS9November 2009Pages S60-S64 RelatedInformation