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Two cases of acute mastoiditis with subperiosteal abscess

Sung Ryeal Kim1, Oak-Sung Choo1, Hun Yi Park1

  • 1Department of Otolaryngology, Ajou University School of Medicine, Suwon, Korea.

Korean Journal of Audiology
|March 22, 2014
PubMed

Insights

Acute mastoiditis with subperiosteal abscess is rising in children due to resistant bacteria. Successful treatment in both children and adults can often avoid surgery.

Area of Science:

  • Otolaryngology
  • Pediatric Infectious Diseases
  • Bacteriology

Background:

  • Mastoiditis incidence, particularly in pediatric patients, has risen over the past two decades, linked to increasing antibiotic-resistant bacteria.
  • While acute otitis media complications like acute mastoiditis and subperiosteal abscess are less common in adults than children, they still occur.

Observation:

  • Two cases of acute mastoiditis with subperiosteal abscess in pediatric and adult patients are presented.
  • Non-surgical interventions including intravenous antibiotics, tympanostomy tube insertion, and postauricular incision and drainage were employed.

Findings:

  • Successful non-surgical management of acute mastoiditis with subperiosteal abscess was achieved in both pediatric and adult cases.
  • Mastoidectomy was reserved for severe complications or treatment failures, aligning with recent trends.

Implications:

  • Conservative management strategies are effective for acute mastoiditis with subperiosteal abscess, potentially avoiding surgical morbidity.
  • Understanding the increasing role of antibiotic resistance in pediatric mastoiditis is crucial for effective treatment protocols.

Keywords:
Acute mastoiditisMastoidectomySubperiosteal abscess

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