Untreated otitis media leads to hemiplegia in the prime of life

  This year’s Spring Festival is really a mixture of sadness and happiness for Chen Rui. The sad thing is that the hemiplegia makes him in his prime and has to spend the New Year in bed. The happy thing is that after more than two months of treatment at the First Affiliated Hospital of Guangxi Medical University (hereinafter referred to as the First Affiliated Hospital of Guangxi Medical University), Chen Rui’s hemiplegic arms and legs can simply move and his hope of recovery has greatly increased.  In mid-November last year, Chen Rui, who was working in Guangzhou, suddenly collapsed on the construction site and was weak. After emergency treatment in Guangzhou, Chen Rui returned to Nanning from a life-threatening condition and was admitted to the Department of Traditional Chinese Medicine of the First Affiliated Hospital of Medical University.  Dr. Li Kai of the First Affiliated Hospital of Medical Science told reporters that during treatment, doctors found that the focal point causing Chen Rui’s hemiplegia was a cholesteatoma that grew in his ear and expanded into the skull to form a brain abscess, blocking the vascular nerves and causing hemiplegia.  In fact, before the culprit “committed” the crime, in the past ten years, had given Chen Rui a reminder “signal”. Chen Rui’s wife told reporters that Chen Rui had been suffering from otitis media for more than a decade, but because his family’s economic conditions were not very good, he did not think it was a big deal, so he ignored it except for a few days in the hospital when it was first discovered. Who knew that behind what he thought was a harmless “minor disease”, there was such a terrible hidden danger.  How could an ear disease affect the meninges and cause a sudden onset of meningitis? Dr. Yin Shihua, chief physician of the Department of Otolaryngology and Head and Neck Surgery at the First Affiliated Hospital of the Medical University of China, explained that cholesteatoma is the accumulation of epithelium in the middle ear, which forms cholesteatoma-type otitis media due to the blockage of blood vessels and nerves. The middle ear is only separated from the skull by a wall. If left untreated for a long time, this thin wall will be opened up, and once the pus in the middle ear flows into the skull, it will easily lead to infection and meningitis or brain abscess.  In early December, Chen Rui was transferred to the Department of Otolaryngology of the First Affiliated Hospital of Medical University for surgery.  ”This surgery is not good.” Yin Shihua recounted that because Chen Rui had already undergone a craniotomy in Guangzhou, the original bone wall in his right ear had been damaged and cleared, so that the vascular nerves within his meninges were exposed, and once the surgery was slightly flawed, the vascular nerves would be damaged, leading to facial paralysis and even serious and life-threatening hemorrhaging. Finally, with the aid of a microscope with 6 times magnification, Yin Shihua used his delicate technique to carefully bypass the tangled vascular nerves and cut off the “time bomb” of cholesteatoma, completing the surgery smoothly.  After the surgery, Chen Rui returned to the Chinese medicine department for treatment, and the results were obvious. Li Kai said that Chen Rui’s condition was very serious when he was first admitted to the hospital. Not only was he in a deep coma and unconscious, but he also had a high fever, would convulse from time to time, and his limbs could not stand upright. Now through the treatment of antibiotics and Chinese medicine, Chen Rui finally recovered a little, the left arm and leg has been able to do some light movements, but still relatively weak. Li Kai said that after some time of rehabilitation, Chen Rui is expected to return to normal.  There are three types of chronic suppurative otitis media: simple, osteochondritis, and cholesteatoma. Cholesteatoma otitis media belongs to the third type, which is also the most serious and prone to complications among these three types of otitis media. The so-called cholesteatoma is a collection of epithelium shed in the middle ear that grows larger and larger and expands in all directions, causing damage to the adjacent bone and, once the nerve is damaged, facial nerve paralysis, and, if it expands into the skull, life-threatening complications such as brain abscess.