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Klinisch relevante Mastoiditiden zeigen sich meist durch subperiostale Abszesse, w\u00e4hrend subklinische Verschattungen der Mastoidzellen h\u00e4ufig auftreten, aber keine spezifische Therapie erfordern. Weitere m\u00f6gliche Komplikationen umfassen Labyrinthitis, Fazialisparese, intratemporale Abszesse, Sinusvenenthrombosen oder Meningitiden. Die Diagnostik basiert auf klinischer Untersuchung, Laborparametern und gezielter Bildgebung. Intratemporale Komplikationen werden prim\u00e4r antibiotisch behandelt. Chirurgische Eingriffe sind bei Abszessbildung oder Therapieversagen erforderlich. Intrakranielle Komplikationen bed\u00fcrfen meist einer interdisziplin\u00e4ren operativen Versorgung. Die vorliegende \u00dcbersicht bietet praxisnahe Empfehlungen zu Differenzierung, Diagnostik und Therapie und soll die Aufmerksamkeit f\u00fcr potenziell schwerwiegende Verl\u00e4ufe sch\u00e4rfen.<\/jats:p>","DOI":"10.1007\/s00106-026-01788-4","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T22:50:37Z","timestamp":1782859837000},"page":"554-562","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Komplikationen der akuten Otitis media","Complications of acute otitis media"],"prefix":"10.1007","volume":"74","author":[{"given":"Lukas","family":"Schmutzler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Santer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Dejaco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedikt","family":"Hofauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Schmutzhard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"1788_CR1","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1177\/2374373518771362","volume":"6","author":"S Meherali","year":"2019","unstructured":"Meherali\u00a0S, Campbell\u00a0A, Hartling\u00a0L et\u00a0al (2019) Understanding parents\u2019 experiences and information needs on pediatric acute otitis media: a qualitative study. 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Nichtfinanzielle Interessen: Klinikdirektor, Universit\u00e4tsklinik f\u00fcr Hals\u2011, Nasen- und Ohrenheilkunde, Medizinische Universit\u00e4t Innsbruck | Mitgliedschaft: \u00d6sterreichische Gesellschaft f\u00fcr Hals\u2011, Nasen- und Ohrenheilkunde, Kopf- und Halschirurgie.\n                      J.\u00a0Schmutzhard\n                      : A.\u00a0Finanzielle Interessen: J.\u00a0Schmutzhard gibt an, dass kein finanzieller Interessenkonflikt besteht.\u00a0\u2013 B. Nichtfinanzielle Interessen: Stellvertretender Klinikdirektor, Universit\u00e4tsklinik f\u00fcr Hals\u2011, Nasen- und Ohrenheilkunde, Medizinische Universit\u00e4t Innsbruck | Mitgliedschaft: \u00d6sterreichische Gesellschaft f\u00fcr Hals\u2011, Nasen- und Ohrenheilkunde, Kopf- und Halschirurgie.","order":2,"name":"Ethics","label":"Autorinnen und Autoren","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"Die vollst\u00e4ndige Erkl\u00e4rung zum Interessenkonflikt der Wissenschaftlichen Leitung finden Sie am Kurs der zertifizierten Fortbildung auf\n                      \n                      .","order":3,"name":"Ethics","label":"Wissenschaftliche Leitung","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"erkl\u00e4rt, dass f\u00fcr die Publikation dieser CME-Fortbildung keine Sponsorengelder an den Verlag flie\u00dfen.","order":4,"name":"Ethics","label":"Der Verlag","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}