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Mastoid subperiosteal abscess management in children
Paul W Bauer1, Karla R Brown, Dwight T Jones
1Department of Otolaryngology and Communication Disorders, Children's Hospital, Boston University School of Medicine, 300 Longwood Avenue, Boston, MA 02115, USA. bauerp@msnotes.wustl.edu
Summary
Mastoid subperiosteal abscesses in children can be effectively treated without mastoidectomy. This approach involves tympanostomy tubes, antibiotics, and drainage, avoiding surgical complications.
Area of Science:
- Otolaryngology
- Pediatric Infectious Diseases
- Surgical Innovation
Background:
- Mastoid subperiosteal abscess traditionally necessitates mastoidectomy.
- Current antibiotic advancements support less invasive treatments for acute mastoiditis.
Observation:
- A novel treatment strategy was employed for three pediatric patients with mastoid subperiosteal abscess.
- This involved tympanostomy tube insertion, intravenous antibiotics, and postauricular abscess drainage.
Findings:
- All three patients achieved complete resolution of the infectious process.
- No evidence of recurrent disease was observed during extended otologic follow-up.
Implications:
- This conservative management avoids the morbidity associated with mastoidectomy in young children.
- It presents a viable alternative for treating mastoid subperiosteal abscess, improving pediatric otologic surgical outcomes.