{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:25:58Z","timestamp":1777562758569,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2019,4,24]],"date-time":"2019-04-24T00:00:00Z","timestamp":1556064000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>Intracranial complications secondary to chronic otitis media (COM) include otogenic brain abscess and sinus thrombosis. Intravenous antibiotics and imaging have significantly reduced the incidence of intracranial complications secondary to COM. However, the same does not apply to a developing country like Malaysia, which still experiences persisting otogenic complications. This case series describes 3 patients with COM and intracranial complications. All 3 patients had COM with mastoiditis, with 1 of the 3 having a cholesteatoma. Postulated reasons for the continued occurrence include poor access to health care, poor compliance with medication, and the lack of pneumococcal vaccination during childhood. In conclusion, public awareness and a timely specialty referral can reduce the incidence of intracranial complications of COM.<\/jats:p>","DOI":"10.1177\/0145561319840166","type":"journal-article","created":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T01:44:31Z","timestamp":1556156671000},"page":"416-419","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Intracranial Complications of Chronic Otitis Media: Why Does It Still Occur?"],"prefix":"10.1177","volume":"98","author":[{"given":"Hardip Singh","family":"Gendeh","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asma binti","family":"Abdullah","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia"},{"name":"Institute of Ear, Hearing and Speech (Institute-HEARS), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bee See","family":"Goh","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia"},{"name":"Institute of Ear, Hearing and Speech (Institute-HEARS), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noor Dina","family":"Hashim","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,24]]},"reference":[{"key":"bibr1-0145561319840166","volume-title":"Disease of Ear, Nose and Throat & Head and Neck Surgery","author":"Dhingra PL","year":"2014","edition":"6"},{"key":"bibr2-0145561319840166","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.02.031"},{"key":"bibr3-0145561319840166","volume-title":"Findings of the National Hearing and Ear Disorders Survey","author":"Institute for Public Health","year":"2009"},{"key":"bibr4-0145561319840166","volume-title":"Chronic Suppurative Otitis Media","author":"Acuin J","year":"2004"},{"key":"bibr5-0145561319840166","doi-asserted-by":"publisher","DOI":"10.1016\/S1015-9584(09)60168-8"},{"issue":"4","key":"bibr6-0145561319840166","first-page":"44","volume":"17","author":"Ami M","year":"2010","journal-title":"Malays J Med Sci"},{"key":"bibr7-0145561319840166","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510800234X"},{"key":"bibr8-0145561319840166","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000000172"},{"key":"bibr9-0145561319840166","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-011-0255-1"},{"key":"bibr10-0145561319840166","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3182488007"},{"issue":"1","key":"bibr11-0145561319840166","first-page":"126","volume":"96","author":"Berman S","year":"1995","journal-title":"Pediatrics"},{"key":"bibr12-0145561319840166","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1425.007"},{"key":"bibr13-0145561319840166","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68304-9"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145561319840166","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0145561319840166","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145561319840166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:37:20Z","timestamp":1777401440000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0145561319840166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,24]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1177\/0145561319840166"],"URL":"https:\/\/doi.org\/10.1177\/0145561319840166","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,24]]}}}