Case Report: Suppurative Labyrinthitis Induced by Chronic Suppurative Otitis Media

Qianwen Xiao; Yuzhong Zhang; Jingrong Lv; Jun Yang; Qing Zhang

doi:10.3389/fneur.2022.892045

Case Report: Suppurative Labyrinthitis Induced by Chronic Suppurative Otitis Media

Front Neurol. 2022 Jun 9:13:892045. doi: 10.3389/fneur.2022.892045. eCollection 2022.

Authors

Qianwen Xiao^{1

2

3}, Yuzhong Zhang^{1

2

3}, Jingrong Lv^{1

2

3}, Jun Yang^{1

2

3}, Qing Zhang^{1

2

3}

Affiliations

¹ Department of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
² Ear Institute, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
³ Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, China.

Abstract

A discussion on suppurative labyrinthitis associated with chronic suppurative otitis media (CSOM) may seem to be an outdated issue due to the advent of antibiotics in the last century. In previous literature, limited cases of suppurative labyrinthitis have been reported. This case, therefore, is an excellent and rare opportunity to study its clinical symptoms, diagnoses, and treatments. This report described the case of a 39-year-old female with a history of CSOM for 20 years, and she often presented with otorrhea, vestibular disorder, and hearing impairment. CT of the temporal bone revealed fistulae in both the basal turn of the cochlea and the horizontal semicircular canal. Combined with the otolaryngology examination results, suppurative labyrinthitis was considered. During a three-month follow-up, her symptoms were improved significantly after surgery. In conclusion, suppurative labyrinthitis must not be overlooked and neglected; early diagnosis and treatments are of vital importance.

Keywords: cochlea; fistulae; hearing loss; semicircular canals; suppurative labyrinthitis; vestibular disorder.

Publication types

Case Reports