id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-316194-jnw8gr7e	Sifuentes, Monica	Chapter 61 Disorders of the Ear	2005-12-31		.txt	text/plain	7072	388	45	Children differ from adults in that complications are more likely to occur from AOM than chronic ear disease and often are the result of delayed treatment. Children with AOM usually have fluid present in the mastoid air cells because of the direct connection with the middle ear ( Fig. 61-1) . The most common suppurative intracranial complication of OM and mastoiditis is bacterial meningitis, although its incidence has decreased dramatically since the advent of antibiotic therapy for acute infections and routine immunization against Haemophilus influenzae type B. Therapeutic goals for infants and young children with OM are to treat acute infections appropriately and prevent recurrent and chronic middle ear disease, reducing the morbidity and mortality associated with intratemporal and intracranial complications. Children with uncomplicated AOM generally have a favorable outcome depending on their age at diagnosis, frequency of infections, and length of time for fluid in the middle ear to resolve.	./cache/cord-316194-jnw8gr7e.txt	./txt/cord-316194-jnw8gr7e.txt