{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T23:54:30Z","timestamp":1770508470349,"version":"3.49.0"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2007,5,22]],"date-time":"2007-05-22T00:00:00Z","timestamp":1179792000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2008,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215107008377_sec1\"><jats:title>Background:<\/jats:title><jats:p>In developing countries, the rate of complications from chronic suppurative otitis media is still high, due to factors associated with poverty. This study aimed to determine the prevalence of chronic suppurative otitis media and associated complications.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215107008377_sec2\"><jats:title>Patients and methods:<\/jats:title><jats:p>We prospectively studied all patients presenting with chronic suppurative otitis media to the ear, nose and throat unit of the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, over a two-year period.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215107008377_sec3\"><jats:title>Results:<\/jats:title><jats:p>One hundred and sixty new cases of chronic suppurative otitis media were seen. These constituted 11.1 per cent of all new cases and 21.5 per cent of all otological cases seen. About half (51.7 per cent) of these patients were younger than 15 years. Most patients were from rural areas and had been previously managed by unlicensed, untrained practitioners. Complications were mostly seen in children. Intracranial complications were seen in 10 (6.3 per cent) cases; this was associated with a high mortality rate.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215107008377_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>This study found that, in Nigeria, a developing country, \u2018safe\u2019 chronic suppurative otitis media was not without serious problems. Provision of adequate health facilities may reduce such problems.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215107008377","type":"journal-article","created":{"date-parts":[[2007,5,23]],"date-time":"2007-05-23T00:54:51Z","timestamp":1179881691000},"page":"16-20","source":"Crossref","is-referenced-by-count":30,"title":["Challenges in management of chronic suppurative otitis media in a developing country"],"prefix":"10.1017","volume":"122","author":[{"given":"O V","family":"Akinpelu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y B","family":"Amusa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E O","family":"Komolafe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A A","family":"Adeolu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A O","family":"Oladele","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S A","family":"Ameye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,5,22]]},"reference":[{"key":"S0022215107008377_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100112903"},{"key":"S0022215107008377_ref4","first-page":"239","article-title":"Identifiable risk factors for CSOM in a rural community in Nigeria","volume":"10","author":"Ologe","year":"2000","journal-title":"Nigerian Quarterly Journal of Hospital Medicine"},{"key":"S0022215107008377_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100146122"},{"key":"S0022215107008377_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/000348948809700408"},{"key":"S0022215107008377_ref10","first-page":"57","article-title":"Chronic suppurative otitis media and complications at the University Clinic of Kinshasa","volume":"1","author":"Matanda","year":"2005","journal-title":"The Royal Belgian Society for Ear, Nose and Throat, Head and Neck Surgery"},{"key":"S0022215107008377_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100096390"},{"key":"S0022215107008377_ref11","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100146298"},{"key":"S0022215107008377_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100105444"},{"key":"S0022215107008377_ref13","first-page":"68","article-title":"Peculiarities of middle ear infections in Ghana","volume":"22","author":"Brobby","year":"1988","journal-title":"Ghana Medical Journal"},{"key":"S0022215107008377_ref3","first-page":"366","volume-title":"Diseases of the Ear, a Textbook of Otology","author":"Mawson","year":"1979"},{"key":"S0022215107008377_ref6","first-page":"12","article-title":"CSOM in school pupils in Nigeria","volume":"80","author":"Ologe","year":"2003","journal-title":"East African Medical Journal"},{"key":"S0022215107008377_ref1","first-page":"11","article-title":"Otolaryngology in south-eastern Nigeria I. Pattern of disease of the ear","volume":"13","author":"Okafor","year":"1983","journal-title":"Nigerian Medical Journal"},{"key":"S0022215107008377_ref2","first-page":"17","article-title":"Case management of otitis media among GPS in South West Nigeria","volume":"43","author":"Lasisi","year":"2003","journal-title":"Nigeria Medical Practitioner"},{"key":"S0022215107008377_ref5","doi-asserted-by":"crossref","first-page":"63","DOI":"10.4103\/1117-1936.171028","article-title":"Prevalence of CSOM among school children in a rural community in Nigeria","volume":"9","author":"Ologe","year":"2002","journal-title":"The Nigerian Postgraduate Medical Journal"},{"key":"S0022215107008377_ref7","first-page":"36","article-title":"Epidemiology of otitis media in a local tropical African population","volume":"4","author":"Amusa","year":"2005","journal-title":"West African Journal of Medicine"},{"key":"S0022215107008377_ref9","first-page":"1021","article-title":"Management of otitis media in a high risk population","volume":"27","author":"Morris","year":"1988","journal-title":"Australian Family Physician"},{"key":"S0022215107008377_ref17","first-page":"594","article-title":"Clinical analysis of chronic suppurative otitis media in adults and children [in Chinese]","volume":"19","author":"Liang","year":"2005","journal-title":"Lin Chuang Er Bi Yan Hou Ke Za Zhi"},{"key":"S0022215107008377_ref18","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199112000-00003"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215107008377","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T12:49:48Z","timestamp":1707914988000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215107008377\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,5,22]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2008,1]]}},"alternative-id":["S0022215107008377"],"URL":"https:\/\/doi.org\/10.1017\/s0022215107008377","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,5,22]]}}}