Paediatric acute mastoiditis, then and now: is it more of a problem now?

B Attlmayr1, S Zaman2, J Scott3

  • 1ENT Department,Aintree University Hospital,Liverpool,UK.

Insights

Acute mastoiditis in children remains common. While surgical rates increased, intracranial complications showed a non-significant rise, possibly due to advanced imaging techniques.

Area of Science:

  • Pediatric Otolaryngology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Acute mastoiditis is a notable cause of illness in children.
  • This study reviews a decade of acute mastoiditis cases and compares them to historical data.

Purpose of the Study:

  • To analyze trends in pediatric acute mastoiditis over ten years.
  • To compare current management and outcomes with historical data.

Main Methods:

  • Retrospective review of pediatric patient records from 2003-2012.
  • Comparison with historical data from 1995-2000.

Main Results:

  • Forty-six pediatric cases of acute mastoiditis were identified.
  • Surgical intervention rates increased from 23% to 58.7%.
  • Intracranial complications were observed in 13% of recent cases, versus 4.8% historically (p=0.419).

Conclusions:

  • The incidence of pediatric acute mastoiditis appears stable.
  • Increased intracranial complications may correlate with advancements in imaging technology.
Abstract

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