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Acute mastoiditis: A one year study in the pediatric hospital of Cairo university

Mosaad Abdel-Aziz1, Hassan El-Hoshy1

  • 1Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt.

BMC Ear, Nose, and Throat Disorders
|March 9, 2010
PubMed

Insights

This study evaluated acute mastoiditis treatments in children. Conservative management and myringotomy are effective for uncomplicated cases, while surgical intervention is necessary for severe complications.

Area of Science:

  • Pediatric Otolaryngology
  • Infectious Diseases

Background:

  • Acute mastoiditis is a severe complication of acute otitis media, particularly in children.
  • This study reviews management strategies for pediatric acute mastoiditis.

Purpose of the Study:

  • To report the experience of treating children with acute mastoiditis.
  • To evaluate current management approaches for this condition.

Main Methods:

  • Nineteen children (9 months–11 years) with acute mastoiditis were treated.
  • Treatment included intravenous antibiotics, myringotomy, or cortical mastoidectomy based on disease severity and response.
  • Patients were followed for at least 1 year.

Main Results:

  • 26% of cases resolved with antibiotics alone.
  • 37% required myringotomy, with some progressing to cortical mastoidectomy.
  • 37% presented with subperiosteal abscess requiring cortical mastoidectomy.

Conclusions:

  • Conservative management is effective for non-complicated acute mastoiditis.
  • Myringotomy is indicated for cases unresponsive to antibiotics within 48 hours.
  • Cortical mastoidectomy is essential for complicated cases and those with subperiosteal abscess.
Abstract

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